Individual
DR. IRA MORRIS GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 PARK ST STE 312, MONTCLAIR, NJ 07042-2960
(201) 342-2550
(201) 342-7171
Mailing address
70 PARK ST STE 312, MONTCLAIR, NJ 07042-2960
(201) 342-2550
(201) 342-7171
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA07767200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043770
—
NJ
01
—
25MA07767200
NJ PROVIDER LICENSE NUMBER
NJ
Enumeration date
07/04/2006
Last updated
06/10/2025
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