Healthcare Provider Details

I. General information

NPI: 1528271475
Provider Name (Legal Business Name): ARNOLD D. GOLDMAN,M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 KINGS HWY N 205
CHERRY HILL NJ
08034-1906
US

IV. Provider business mailing address

1020 KINGS HWY N 205
CHERRY HILL NJ
08034-1906
US

V. Phone/Fax

Practice location:
  • Phone: 856-414-6100
  • Fax: 856-414-6102
Mailing address:
  • Phone: 856-414-6100
  • Fax: 856-414-6102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number25MA03546900
License Number StateNJ

VIII. Authorized Official

Name: ARNOLD D GOLDMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 856-414-6100