Provider Demographics
NPI:1740713023
Name:GOLDSON, UGOCHI (MD)
Entity type:Individual
Prefix:
First Name:UGOCHI
Middle Name:
Last Name:GOLDSON
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 1:651 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-2737
Mailing Address - Country:US
Mailing Address - Phone:609-481-3006
Mailing Address - Fax:609-704-5613
Practice Address - Street 1:651 HIGH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON CITY
Practice Address - State:NJ
Practice Address - Zip Code:08016-2737
Practice Address - Country:US
Practice Address - Phone:609-481-3006
Practice Address - Fax:609-704-5613
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-04
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4775552084P0800X
NJ25MA115705002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry