Individual
DR. JEFFREY SCOTT GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
180 AVENUE OF THE CMN, SUITE 7, SHREWSBURY, NJ 07702-4569
(732) 542-7877
Mailing address
180 AVENUE OF THE CMN, SUITE 7, SHREWSBURY, NJ 07702-4569
(732) 542-7877
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16788
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223140918000
TAX ID
NJ
Enumeration date
08/31/2006
Last updated
07/08/2007
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