Provider Demographics
NPI:1609321835
Name:GOLDSTEIN, TOBA GITTEL (MS,GC)
Entity Type:Individual
Prefix:MRS
First Name:TOBA
Middle Name:GITTEL
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MS,GC
Other - Prefix:
Other - First Name:TOBA
Other - Middle Name:GITTEL
Other - Last Name:GOLDFEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 BOWMAN DRIVE
Mailing Address - Street 2:SUITE D290
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043
Mailing Address - Country:US
Mailing Address - Phone:856-247-7380
Mailing Address - Fax:856-247-7400
Practice Address - Street 1:200 BOWMAN DRIVE
Practice Address - Street 2:SUITE D290
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-247-7380
Practice Address - Fax:856-247-7400
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00021600170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS