Organization
UNIVERSITY OTOLARYNGOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S GOLDRICH MD (TREASURER)
(732) 247-2401
Entity
Organization
Contact information
Practice address
181 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1946
(732) 247-2401
(732) 247-6920
Mailing address
181 SOMERSET ST, NEW BRUNSWICK, NJ 08901-1946
(732) 247-2401
(732) 247-6920
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8868301
—
NJ
Enumeration date
12/12/2006
Last updated
12/21/2010
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