Individual
DR. GLEN M GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1243 SUSSEX TPKE, RANDOLPH, NJ 07869-2997
(973) 895-7995
(973) 895-2332
Mailing address
1243 SUSSEX TPKE, RANDOLPH, NJ 07869-2997
(973) 895-7995
(973) 895-2332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI16078
NJ
Other
Enumeration date
07/26/2006
Last updated
05/25/2011
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