Individual
JAY R. GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 TULIP LN, FREEHOLD, NJ 07728-4088
(732) 859-3193
Mailing address
96 TULIP LN, FREEHOLD, NJ 07728-4088
(732) 859-3193
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA04172200
NJ
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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