Provider Demographics
NPI:1740241074
Name:GOLD, RUTH LK (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:LK
Last Name:GOLD
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 1:82 E ALLENDALE RD
Mailing Address - Street 2:SUITE 7A AND 7B
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-3057
Mailing Address - Country:US
Mailing Address - Phone:201-236-8282
Mailing Address - Fax:201-236-0138
Practice Address - Street 1:82 E ALLENDALE RD
Practice Address - Street 2:SUITE 7A AND 7B
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-3057
Practice Address - Country:US
Practice Address - Phone:201-236-8282
Practice Address - Fax:201-236-0138
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA061008174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF80557Medicare UPIN
NJ089988Medicare ID - Type Unspecified