Organization
JEFFREY L GOLD,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L GOLD MD (OWNER)
(973) 471-8850
Entity
Organization
Contact information
Practice address
1135 BROAD ST, SUITE 205, CLIFTON, NJ 07013-3346
(973) 471-8850
(973) 471-5232
Mailing address
1135 BROAD ST, SUITE 205, CLIFTON, NJ 07013-3346
(973) 471-8850
(973) 471-5232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083641765
NPI
NJ
05
—
4798201
—
NJ
Enumeration date
03/07/2007
Last updated
10/13/2009
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