Organization
CENTER CITY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK GOLDSTEIN DO (PRES)
(856) 963-8907
Entity
Organization
Contact information
Practice address
506 BROADWAY, CAMDEN, NJ 08103
(856) 963-8907
(856) 963-9061
Mailing address
506 BROADWAY, CAMDEN, NJ 08103
(856) 963-8907
(856) 963-9061
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02205600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2683008
—
NJ
Enumeration date
01/18/2007
Last updated
11/10/2009
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