Provider Demographics
NPI:1073680351
Name:GOLDIN, NANCY JEAN (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JEAN
Last Name:GOLDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4446 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08528
Mailing Address - Country:US
Mailing Address - Phone:609-688-8700
Mailing Address - Fax:609-688-1256
Practice Address - Street 1:4446 ROUTE 27
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:08528
Practice Address - Country:US
Practice Address - Phone:609-688-8700
Practice Address - Fax:609-688-1256
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA694262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry