Gould, Jack

Gould, Jack is an individual health care provider with primary practice located at 804 W Park Ave , Ocean NJ 07712-7272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gould, Jack can be contacted via phone (732) 695-2040.

Contact Information

Primary practice address
804 W Park Ave Ocean NJ 07712-7272
Fax: (732) 493-1640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MB05525500 New Jersey

Profile Details

NPI number 1235241258
LBN Legal business name Gould, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 11th, 2021 - about 4 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 1235241258 NPPES
New Jersey MEDICAID 5645204

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