Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA03315200 | NJ |
Y | 208600000X | Surgeon | 25MA03315200 | NJ |
NPI | 1013021674 |
---|---|
Provider Name | Dr. Howard Jay Goldson |
First Address | Hackensack, NJ 07601-1997 |
Second Address | Hackensack, NJ 07601-1997 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 28/10/2020 |