Individual
MRS. MIRIAM ANN GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
229 ENGLE ST, ENGLEWOOD, NJ 07631-2409
(201) 567-8999
Mailing address
39 W ENGLEWOOD AVE, TEANECK, NJ 07666-5054
(732) 598-6924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00209200
NJ
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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