Individual
DR. CYRUS MICHAEL GOLSAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 ROUTE 37 W, SUITE 103, TOMS RIVER, NJ 08755-6405
(732) 678-0087
Mailing address
79 NJ-37 #103, TOMS RIVER, NJ 08755
(732) 678-0087
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09192500
NJ
2085R0202X
Diagnostic Radiology Physician
266480
NY
2085R0202X
Diagnostic Radiology Physician
D75875
MD
2085R0202X
Diagnostic Radiology Physician
MD445068
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07873269
—
NY
05
—
1029704810001
—
PA
Enumeration date
09/12/2011
Last updated
04/05/2016
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