Individual
MARK S GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 KINDERKAMACK RD, RIVER EDGE, NJ 07661-1939
(201) 488-2020
(201) 488-1582
Mailing address
130 KINDERKAMACK RD, SUITE 205, RIVER EDGE, NJ 07661-1939
(201) 488-2020
(201) 488-1582
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA27921
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599603
—
NJ
01
—
AMERIHEALTH
0076115000
NJ
01
—
HEALTHNET
OK1123
NJ
01
—
OXFORD
BS085
NJ
01
—
UNITED HEALTHCARE RR
180045910
NJ
Enumeration date
10/05/2006
Last updated
08/19/2010
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