Individual
DR. MARC GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.C.M.D.
Contact information
Practice address
8100 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4254
(201) 866-6770
(201) 866-6771
Mailing address
8100 KENNEDY BLVD, NORTH BERGEN, NJ 07047-4254
(201) 866-6770
(201) 866-6771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB03186200
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MB03186200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2254808
—
NJ
01
—
D01987900
CDS
NJ
01
—
MB03186200
DOCTOR OF OSTEOPATHY
NJ
Enumeration date
12/22/2005
Last updated
03/07/2023
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