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Individual

PETER GOLDZWEIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3322
(201) 894-0585
Mailing address
375 ENGLE ST, SECOND FLOOR, ENGLEWOOD, NJ 07631-1823
(201) 871-6073
(201) 655-6159

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB06558900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02817912
NY
01
050068185
RAILROAD MEDICARE
NJ
05
8461708
NJ
Enumeration date
05/09/2006
Last updated
08/18/2011
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