Goldstein, Marc

Goldstein, Marc is an sole proprietor health care provider with primary practice located at 8100 Kennedy Blvd , North Bergen NJ 07047-4254. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Goldstein, Marc can be contacted via phone (201) 866-6770.

Contact Information

Primary practice address
8100 Kennedy Blvd North Bergen NJ 07047-4254
Phone: (201) 866-6770
Fax: (201) 866-6771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB03186200 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MB03186200 New Jersey

Profile Details

NPI number 1770569568
LBN Legal business name Goldstein, Marc
Credentials D.O.C.M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Mar 7th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770569568 NPPES
New Jersey MEDICAID 2254808
New Jersey Other D01987900
New Jersey Other MB03186200

Popular Providers