Healthcare Provider Details

I. General information

NPI: 1578608162
Provider Name (Legal Business Name): STEPHEN P GOLDFINE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 EVES DRIVE SUITE 300
MARLTON NJ
08053
US

IV. Provider business mailing address

5 EVES DRIVE SUITE 300
MARLTON NJ
08053
US

V. Phone/Fax

Practice location:
  • Phone: 856-596-1600
  • Fax: 856-552-3268
Mailing address:
  • Phone: 856-596-1600
  • Fax: 856-552-3268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA05244400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number25MA05244400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA05244400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number25MA0524400
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA0524400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: