Individual
JACK GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
804 W PARK AVE, OCEAN, NJ 07712-7272
(732) 695-2040
(732) 493-1640
Mailing address
PO BOX 8399, RED BANK, NJ 07701-8399
(732) 224-8212
(732) 842-0641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB05525500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5645204
—
NJ
Enumeration date
08/31/2006
Last updated
03/11/2021
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