Individual
CRAIG RUSSELL GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOMD
Contact information
Practice address
111 NORTHFIELD AVE, SUITE 311, WEST ORANGE, NJ 07052
(973) 325-2103
Mailing address
111 NORTHFIELD AVENUE, SUITE 311, WEST ORANGE, NJ 07052
(973) 325-2103
(973) 325-2254
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB07799900
NJ
Other
Enumeration date
10/06/2006
Last updated
03/07/2012
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