Individual
MICHAEL GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 BEY LEA RD, SUITE B203, TOMS RIVER, NJ 08753-2900
(732) 341-0720
(732) 244-6842
Mailing address
40 BEY LEA RD, SUITE B203, TOMS RIVER, NJ 08753-2900
(732) 341-0720
(732) 244-6842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07078500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0869681000
AMERIHEALTH HMO
—
01
—
10697601
CAQH
—
01
—
2695860
GHI
—
01
—
29128
UNIVERSITY
—
01
—
952857
AMERIHEALTH PPO
—
01
—
IK8406
HEALTHNET
—
01
—
P2213878
OXFORD
—
Enumeration date
06/29/2006
Last updated
07/08/2007
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