Organization
GOLDMAN PHYSICAL THERAPY, LLC
Active
Other names
David Victor Goldman, MSPT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID V GOLDMAN MSPT (OWNER)
(646) 321-2639
Entity
Organization
Contact information
Practice address
20 NORDHOFF PL FL 2, THE GYM, ENGLEWOOD, NJ 07631-4811
(201) 567-9399
(201) 567-9394
Mailing address
20 NORDHOFF PL FL 2, THE GYM, ENGLEWOOD, NJ 07631-4811
(201) 567-9399
(201) 567-9394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01155800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01155800
NJ LICENSE
NJ
01
—
G4194239
OXFORD -OUT OF NETWRK
NJ
01
—
P4064332
OXFORD HEALTH - OON
NJ
01
—
ZL5614
HEALTHNET
NJ
Enumeration date
02/12/2010
Last updated
07/30/2015
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