Provider Demographics
NPI:1750328639
Name:GOLIN, ALEXANDER M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:M
Last Name:GOLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 N. MAPLE AVE.
Mailing Address - Street 2:SUITE 9
Mailing Address - City:HOHOKUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-3500
Mailing Address - Country:US
Mailing Address - Phone:201-670-5750
Mailing Address - Fax:201-670-5752
Practice Address - Street 1:611 N. MAPLE AVE.
Practice Address - Street 2:SUITE 9
Practice Address - City:HOHOKUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-3500
Practice Address - Country:US
Practice Address - Phone:201-670-5750
Practice Address - Fax:201-670-5752
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA076511002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ091203BINMedicare ID - Type Unspecified
I30232Medicare UPIN