Individual
JACK GOLDSHLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16 POCONO RD, DENVILLE, NJ 07834-2901
(973) 625-5651
Mailing address
16 POCONO RD, DENVILLE, NJ 07834-2901
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MB31509
NJ
Other
Enumeration date
05/22/2006
Last updated
06/25/2010
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