Healthcare Provider Details

I. General information

NPI: 1205094372
Provider Name (Legal Business Name): JOSHUA GOLDSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25B VREELAND RD STE 110
FLORHAM PARK NJ
07932-1900
US

IV. Provider business mailing address

25B VREELAND RD STE 110 PO BOX 0037
FLORHAM PARK NJ
07932-1900
US

V. Phone/Fax

Practice location:
  • Phone: 973-660-9334
  • Fax: 973-660-9732
Mailing address:
  • Phone: 973-660-9334
  • Fax: 973-660-9732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA08357600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: