Organization
LIBERTY HEALTH JERSY CITY MEDICAL CENTER
Active
Other names
Ctr for Children & Special Needs
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WM GOLDSMITH MD (MEDICAL DIRECTOR)
(201) 915-2059
Entity
Organization
Contact information
Practice address
953 GARFIELD AVENUE, JERSEY CITY, NJ 07304
(201) 915-2059
(201) 915-2551
Mailing address
953 GARFIELD AVENUE, CENTER FOR CHILDREN & SPECIAL NEEDS, JERSEY CITY, NJ 07304
(201) 915-2059
(201) 915-2551
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MA01584800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525901
—
NJ
Enumeration date
11/17/2006
Last updated
08/22/2020
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