Individual
DR. RUSSELL STUART GOLKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 PALISADE AVE, RADIOLOGY PROFESSIONAL ASSOCIATION, JERSEY CITY, NJ 07306
(201) 795-8411
Mailing address
142 PALISADE AVE, RADIOLOGY PROFESSIONAL ASSOCIATION, JERSEY CITY, NJ 07306
(201) 795-8411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
220790
NY
174400000X
Specialist
Primary
25MA03614200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02168638
—
NY
01
—
10657403
CAQH
NY
Enumeration date
06/01/2006
Last updated
06/11/2010
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