# GOLDIS GERIATRICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114381886
- **Authorized official:** DR. MICHAEL GOLDIS MD (OWNER)
- **Authorized official phone:** (856) 346-3469

## Contact information

- **Practice address:** 119 E LAUREL RD, STRATFORD, NJ 08084-1324
- **Practice address phone:** (856) 346-3469
- **Mailing address:** 119 E LAUREL RD, STRATFORD, NJ 08084-1324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MB05768800 | NJ | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 04/08/2016