MEDICARE: ROBERT S. GOLDSTINE, DDS., PA

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	122300000X	Dentist	08140	NJ

General Provider Information

NPI Number	:	1871585778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT S. GOLDSTINE, DDS., PA

Provider Business Mailing Address
First Line	:	343 DUTCH NECK RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1301
Country	:	US
Telephone Number	:	609-448-7440
Fax Number	:	609-448-0044

Provider Business Practice Location Address
First Line	:	343 DUTCH NECK RD
Second Line	:
City	:	EAST WINDSOR
State	:	NJ
Zip	:	08520-1301
Country	:	US
Telephone Number	:	609-448-7440
Fax Number	:	609-448-0044

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DIANA M VADINO
Credential	:
Telephone Number	:	609-448-7440

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	01/23/2014

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