Provider Demographics
NPI:1154375590
Name:GOOLD, ANDREW M (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:GOOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9 HOSPITAL DR
Mailing Address - Street 2:15B
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6425
Mailing Address - Country:US
Mailing Address - Phone:732-281-3319
Mailing Address - Fax:732-281-1552
Practice Address - Street 1:9 HOSPITAL DR
Practice Address - Street 2:15B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6425
Practice Address - Country:US
Practice Address - Phone:732-281-3319
Practice Address - Fax:732-281-1552
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ38MC00485000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor