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Organization

GOLDSON MEDICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA NATALIA GOLDSON-PROPHETE M.D. (OWNER)
(973) 313-1113
Entity
Organization

Contact information

Practice address
20 VALLEY ST, SUITE 320, SOUTH ORANGE, NJ 07079-2887
(973) 313-1113
(973) 313-1191
Mailing address
PO BOX A, WEST ORANGE, NJ 07052-0200
(973) 313-1113
(973) 313-1191

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
06/16/2006
Last updated
11/29/2023
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