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NPI Code Detail

MEDICARE: DR. RICHARD A GOLDSTEIN M.D.

MEDICARE: DR. RICHARD A GOLDSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMA65965NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285625897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD A GOLDSTEIN M.D.
Provider Business Mailing Address
First Line : 703 DONALD DR S
Second Line :
City : BRIDGEWATER
State : NJ
Zip : 08807-1622
Country : US
Telephone Number : 908-256-2199
Fax Number : 888-721-8956
Provider Business Practice Location Address
First Line : 453 AMBOY AVE
Second Line :
City : WOODBRIDGE
State : NJ
Zip : 07095-2960
Country : US
Telephone Number : 732-634-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/21/2022

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