Provider Demographics
NPI:1497851927
Name:GOLDMAN, HOWARD W (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:W
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8222
Practice Address - Street 1:3 COOPER PLZ
Practice Address - Street 2:SUITE 411
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1438
Practice Address - Country:US
Practice Address - Phone:856-342-2701
Practice Address - Fax:856-968-8222
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA07759100207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01000635400OtherAMERICHOICE
NJ1635858OtherPA BS HIGHMARK
NJ0708909Medicaid
NJP3377515OtherOXFORD
NJ0581497OtherCIGNA
NJ3618993OtherAETNA
NJ42367OtherUNIVERSITY HEALTH PLAN
NJ60010069OtherHORIZON NJ HEALTH
NJ1385702OtherUNITED HEALTHCARE
NJ1635858OtherAMERIHEALTH PPO/PA BS
NJ2310991000OtherAMERIHEALTH/KEYSTONE/IBC/PABS
NJ3K5758OtherHEALTHNET
NJ0581497OtherCIGNA
NJ0708909Medicaid