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CATHEDRAL FACULTY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRVIN GOLDFARB MD (MANAGING PHYSICIAN)
(973) 877-5000
Entity
Organization

Contact information

Practice address
268 DR. MARTIN LUTHER KING BOULEVARD, NEWARK, NJ 07102-2094
(973) 877-5000
Mailing address
66 W GILBERT ST, 2ND FLOOR, RED BANK, NJ 07701-4819
(732) 212-0051
(732) 212-0052

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NJ
207RC0000X
Cardiovascular Disease Physician
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1065131
HORIZON NJ HEALTH
NJ
05
7007507
NJ
01
CN9725
RAILROAD MEDICARE
NJ
01
G870739
OXFORD
NJ
Enumeration date
12/20/2007
Last updated
07/21/2022
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