Individual
GLORIA GOYCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CIVIC SQ, IRVINGTON, NJ 07111-2412
(973) 399-6706
Mailing address
1 CIVIC SQ, IRVINGTON, NJ 07111-2412
(973) 399-6706
(973) 399-6766
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
NONE
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801828736
—
NJ
Enumeration date
02/09/2016
Last updated
02/09/2016
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