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General NPI Number Information
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NPI Number | 1780740860
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Entity Type | Individual
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Provider Name | STEVEN CHARLES GOLDSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-897-2770
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Fax | 732-897-3970
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Provider Business Mailing Address
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Address Line | 5612 17TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11204-1834
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Country | US
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Telephone | 718-837-0135
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Fax | 201-325-0696
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA46448
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA04644800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 165502
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License Number State | NY
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