Individual
MRS. DEBRA R GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 MAY ST, STE E, EDISON, NJ 08837-3266
(732) 661-2020
(732) 661-2022
Mailing address
225 MAY ST, STE E, EDISON, NJ 08837-3266
(732) 661-2020
(732) 661-2022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05795600
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA05795600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6098703
—
NJ
Enumeration date
10/20/2005
Last updated
07/13/2010
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