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Contact Information

STEPHEN A GOOTBLATT, MD
171 A BOXWOOD DRIVE
LAKEWOOD TOWNSHIP, NJ08701
 Phone: 732-367-6079
 Fax: 732-367-6079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN A GOOTBLATT · (Male)

NPI Number 1053587212
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2008
Last updated 05/07/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08071600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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