Organization
ESSEX COUNTY PT REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P GOLD DC (OWNER)
(973) 736-8686
Entity
Organization
Contact information
Practice address
80 MAIN ST, WEST ORANGE, NJ 07052-5460
(973) 736-8686
(973) 736-9901
Mailing address
80 MAIN ST, WEST ORANGE, NJ 07052-5460
(973) 736-8686
(973) 736-9901
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
NJMC1943
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4798601
—
NJ
Enumeration date
04/24/2007
Last updated
08/22/2020
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