# GOLDSON MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1184668485
- **Authorized official:** DR. DEBRA NATALIA GOLDSON-PROPHETE M.D. (OWNER)
- **Authorized official phone:** (973) 313-1113

## Contact information

- **Practice address:** 20 VALLEY ST, SUITE 320, SOUTH ORANGE, NJ 07079-2887
- **Practice address phone:** (973) 313-1113
- **Practice address fax:** (973) 313-1191
- **Mailing address:** PO BOX A, WEST ORANGE, NJ 07052-0200
- **Mailing address phone:** (973) 313-1113
- **Mailing address fax:** (973) 313-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 11/29/2023