Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 25MA04812100 | NJ |
NPI | 1225228315 |
---|---|
Provider Name | Harold A Goldstein |
First Address | Randolph, NJ 07869-4852 |
Second Address | Randolph, NJ 07869-4852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 16/10/2013 |