Organization
NJ NEUROSURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R GOODMAN M.D. (OWNER)
(845) 363-4845
Entity
Organization
Contact information
Practice address
400 FRANK W BURR BLVD STE 55, ATRIUM AT GLENPOINT, STE 55, TEANECK, NJ 07666-6810
(845) 363-4845
Mailing address
400 FRANK W BURR BLVD STE 55, ATRIUM AT GLENPOINT, STE 55, TEANECK, NJ 07666-6810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA04377300
LICENSE
NJ
Enumeration date
09/23/2015
Last updated
09/23/2015
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