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Individual

MR. DAVID VICTOR GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.P.T.

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, THEE GYM, ENGLEWOOD, NJ 07631-4811
(201) 567-9399
(201) 567-9394

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
020989
NY
225100000X
Physical Therapist
Primary
40QA01155800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2300837
UNITED HEALTHCARE -OUT OF NETWORK
01
6455113
AETNA HMO -OON
NJ
01
7742471
AETNA -OUT OF NETWORK
01
P4194238
OXFORD -OUT OF NETWORK
Enumeration date
07/25/2006
Last updated
07/30/2015
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