Provider Demographics
NPI:1952698490
Name:GOLDFEIN, JOSHUA AARON (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:AARON
Last Name:GOLDFEIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401A S VAN BRUNT ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4600
Mailing Address - Country:US
Mailing Address - Phone:201-888-7811
Mailing Address - Fax:
Practice Address - Street 1:401A S VAN BRUNT ST
Practice Address - Street 2:SUITE 402
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4600
Practice Address - Country:US
Practice Address - Phone:201-888-7811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1855749122300000X
NJ22DI02479600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist