Golkow, Russell Stuart

Golkow, Russell Stuart is an individual health care provider with primary practice located at 142 Palisade Ave Radiology Professional Association, Jersey City NJ 07306. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Golkow, Russell Stuart can be contacted via phone (201) 795-8411.

Contact Information

Primary practice address
142 Palisade Ave Radiology Professional Association Jersey City NJ 07306
Phone: (201) 795-8411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 220790 New York
Other Service Providers / Specialist 174400000X 25MA03614200 New Jersey

Profile Details

NPI number 1972540862
LBN Legal business name Golkow, Russell Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972540862 NPPES
New York MEDICAID 02168638
New York Other 10657403

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