Individual
DR. MICHAEL JASON GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 PROSPECT AVE, SUITE 404, HACKENSACK, NJ 07601-1997
(551) 996-2608
(551) 996-0826
Mailing address
20 PROSPECT AVE, SUITE 404, HACKENSACK, NJ 07601-1997
(551) 996-2608
(551) 996-0826
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
216102
NY
204F00000X
Transplant Surgery Physician
Primary
25MA09997500
NJ
208600000X
Surgery Physician
216102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02578334
—
NY
Enumeration date
07/26/2006
Last updated
05/11/2017
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