# VALLEY PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154470870
- **Authorized official:** MARC GOLDSTEIN (PRESIDENT)
- **Authorized official phone:** (201) 291-6086

## Contact information

- **Practice address:** 223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
- **Practice address phone:** (201) 447-8517
- **Practice address fax:** (201) 447-8491
- **Mailing address:** PO BOX 11653, BELFAST, ME 04915
- **Mailing address phone:** (201) 291-6086
- **Mailing address fax:** (201) 291-6138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 08/27/2013