Provider Demographics
NPI:1730257551
Name:GOLDSTEIN, LAUREN TERI (MD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:TERI
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:495 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3069
Mailing Address - Country:US
Mailing Address - Phone:732-683-1283
Mailing Address - Fax:732-683-1619
Practice Address - Street 1:495 IRON BRIDGE RD
Practice Address - Street 2:SUITE 11
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3069
Practice Address - Country:US
Practice Address - Phone:732-683-1283
Practice Address - Fax:732-683-1619
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA593462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry