Individual
JACK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218C SUNSET RD, WILLINGBORO, NJ 08046-1104
(609) 877-0400
(609) 877-1682
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03701800
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA03701800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090492000
AMERIHEALHT/KEYSTONE/ IBC
NJ
01
—
1018864
CIGNA
NJ
01
—
1346033
UNITED HEALTHCARE
NJ
01
—
183070
AMERIHEALTH PPO/PA BS
NJ
05
—
1998200
—
NJ
01
—
21420
UNIVERISITY HEALTH PLAN
NJ
01
—
3818454
AETNA
NJ
01
—
3K6075
HEALTHNET, INC
NJ
01
—
P3641368
OXFORD
NJ
Enumeration date
08/12/2005
Last updated
05/13/2019
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