Individual
DR. MARC JEFFERY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 MILLBURN AVE, SUITE 204, MILLBURN, NJ 07041-1943
(973) 379-6400
(973) 379-6430
Mailing address
2 HARVARD PL, LIVINGSTON, NJ 07039-5510
(973) 535-8855
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12399
NJ
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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