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DR. MICHAEL BRUCE GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2301 E EVESHAM RD STE 110, BULIDING 800, VOORHEES, NJ 08043-4502
(856) 772-1600
(856) 772-9031
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04219200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002104
NJ
01
P00397513
MEDICARE RR
NJ
Enumeration date
10/05/2005
Last updated
09/30/2024
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