MEDICARE: UGOCHI GOLDSON MD

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
1	2084P0800X	Psychiatry Physician	MD477555	PA
2	2084P0800X	Psychiatry Physician	25MA11570500	NJ

General Provider Information

NPI Number	:	1740713023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UGOCHI GOLDSON MD

Provider Business Mailing Address
First Line	:	651 HIGH ST
Second Line	:
City	:	BURLINGTON CITY
State	:	NJ
Zip	:	08016-2737
Country	:	US
Telephone Number	:	609-481-3006
Fax Number	:	609-704-5613

Provider Business Practice Location Address
First Line	:	651 HIGH ST
Second Line	:
City	:	BURLINGTON CITY
State	:	NJ
Zip	:	08016-2737
Country	:	US
Telephone Number	:	609-481-3006
Fax Number	:	609-704-5613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2017
Last Update Date	:	03/08/2023

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Directions to “ UGOCHI GOLDSON MD” Practice Location

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