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Individual

DR. MARVIN GOLDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 BRUNSWICK WOODS DRIVE, EAST BRUNSWICK, NJ 08816
(732) 257-4330
(732) 257-5986
Mailing address
33 BRUNSWICK WOODS DRIVE, EAST BRUNSWICK, NJ 08816
(732) 257-4330
(732) 257-5986

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MA28852
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0775509
NJ
01
222130958
TAX ID
NJ
Enumeration date
10/03/2006
Last updated
02/17/2009
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