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Individual

JEFFREY GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 GALLOPING HILL RD, SUITE 107, UNION, NJ 07083-7989
(908) 964-7333
(908) 687-7855
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MB63900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7095309
NJ
01
875333CP5
MEDICARE ID-TYPE UNSPECIFIED
NJ
Enumeration date
05/03/2006
Last updated
02/10/2016
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