Individual
LARISA GOLUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 ROUTE 31 STE 1000, FLEMINGTON, NJ 08822-5755
(908) 788-6373
Mailing address
121 ROUTE 31 STE 1000, FLEMINGTON, NJ 08822-5755
(908) 788-6373
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA07954000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8213101
—
NJ
Enumeration date
03/15/2006
Last updated
08/31/2020
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