Provider Demographics
NPI:1841256757
Name:GOLDFEDER, ALAN W (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:W
Last Name:GOLDFEDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1095 MORRIS AVE STE 400
Mailing Address - Street 2:LIBERTY HALL II
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083
Mailing Address - Country:US
Mailing Address - Phone:908-686-2525
Mailing Address - Fax:908-947-0630
Practice Address - Street 1:1095 MORRIS AVE STE 400
Practice Address - Street 2:LIBERTY HALL II
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:908-686-2525
Practice Address - Fax:908-947-0630
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03485700207W00000X
NJ34857207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0426601Medicaid
NJ0426601Medicaid
C57747Medicare UPIN