Organization
ELIZABETH MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM GOODGOLD MD (DIRECTOR)
(908) 351-2222
Entity
Organization
Contact information
Practice address
310 W JERSEY ST, ELIZABETH, NJ 07202-1832
(908) 351-2222
(908) 351-1977
Mailing address
310 W JERSEY ST, ELIZABETH, NJ 07202-1832
(908) 351-2222
(908) 351-1977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2935007
—
NJ
Enumeration date
11/29/2006
Last updated
08/22/2020
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