Provider Demographics
NPI:1760449565
Name:GOLOMBEK, STEVEN JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:GOLOMBEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:600 MOUNT PLEASANT AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-1629
Mailing Address - Country:US
Mailing Address - Phone:973-989-0500
Mailing Address - Fax:973-989-5046
Practice Address - Street 1:600 MOUNT PLEASANT AVE
Practice Address - Street 2:SUITE C
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-1629
Practice Address - Country:US
Practice Address - Phone:973-989-0500
Practice Address - Fax:973-989-5046
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ470680207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3039706Medicaid
NJC56625Medicare UPIN
NJ516897Medicare PIN