Individual
DR. DAVID LEE GOLDBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 HAMBURG TPKE, SUITE 2F, WAYNE, NJ 07470-8480
(973) 617-6352
(917) 677-5012
Mailing address
450 HAMBURG TPKE, SUITE 2F, WAYNE, NJ 07470-8480
(973) 617-6352
(917) 677-5012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08857600
NJ
Other
Enumeration date
08/03/2008
Last updated
01/28/2016
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