Organization
S.J. GASTRINTESTINAL & LIVER SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUCHAEL BRUCE GOLDSTEIN MD (OWNER)
(856) 772-1600
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, BUILDIMG 800 SUITE 110, VOORHEES, NJ 08043-4501
(856) 772-1600
(856) 772-9031
Mailing address
2301 E EVESHAM RD, BUILDIMG 800 SUITE 110, VOORHEES, NJ 08043-4501
(856) 772-1600
(856) 772-9031
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0427545000
AMERIHEALTH
NJ
05
—
3437108
—
NJ
Enumeration date
04/04/2006
Last updated
08/22/2020
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