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General NPI Number Information
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NPI Number | 1285625897
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Entity Type | Individual
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Provider Name | RICHARD A GOLDSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 453 AMBOY AVE
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-2960
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Country | US
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Telephone | 732-634-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 703 DONALD DR S
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1622
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Country | US
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Telephone | 908-256-2199
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Fax | 888-721-8956
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA65965
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License Number State | NJ
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