Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 242140 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB08632200 | NJ |
N | 2081P2900X | Pain Medicine | 25MB08632200 | NJ |
NPI | 1417158908 |
---|---|
Provider Name | Dr. Naomi Beth Gold |
First Address | Linden, NJ 07036-3900 |
Second Address | Linden, NJ 07036-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 10/04/2019 |