Individual
JACK GOLDSTEIN
Active
Individual
JACK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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