Individual
DR. MICHAEL E GOLDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
119 LAUREL RD E, STRATFORD, NJ 08084-1324
(856) 346-3469
(856) 346-9456
Mailing address
119 LAUREL RD E, STRATFORD, NJ 08084-1324
(856) 346-3469
(856) 346-9456
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MB57688
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6141005
—
NJ
Enumeration date
07/19/2005
Last updated
07/15/2008
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