Dr. Michael E Goldis
Geriatric Medicine
119 Laurel Rd E
Stratford
, New Jersey 08084-1324
Dr. Michael E Goldis
Geriatric Medicine
119 Laurel Rd E
Stratford
, New Jersey 08084-1324
(856) 346-9456
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael E Goldis
- 119 Laurel Rd E
- Stratford, NJ
- Zip : 08084-1324
- Fax : (856) 346-9456
- Phone : (856) 346-3469
Second Address
- Dr. Michael E Goldis
- 119 Laurel Rd E
- Stratford, NJ
- Zip : 08084-1324
- Fax : (856) 346-9456
- Phone : (856) 346-3469
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MB57688 | NJ |
National Provider Identifier
| NPI | 1982603247 |
|---|---|
| Provider Name | Dr. Michael E Goldis |
| First Address | Stratford, NJ 08084-1324 |
| Second Address | Stratford, NJ 08084-1324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 15/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6141005 | (05) | NJ |
| F78301 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.