Goldstein, Debra R

Goldstein, Debra R is an individual health care provider with primary practice located at 225 May St Ste E, Edison NJ 08837-3266. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Goldstein, Debra R can be contacted via phone (732) 661-2020.

Contact Information

Primary practice address
225 May St Ste E Edison NJ 08837-3266
Fax: (732) 661-2022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05795600 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA05795600 New Jersey

Profile Details

NPI number 1619966850
LBN Legal business name Goldstein, Debra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 13th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619966850 NPPES
New Jersey MEDICAID 6098703

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