Active NPIIndividual providerSole proprietor

Olga Goulko, MD

Dermatology in Fort Lee, New Jersey

NPI Number1710094578
Practice location
2125 Center Ave Ste 200, Fort Lee, NJ 07024-5810
Fax
201-461-1181
Last updated
July 8, 2007

Olga Goulko is a Dermatology based in Fort Lee, NJ. Olga Goulko practices in Fort Lee, NJ and has the professional credentials of MD. The NPI Number for Olga Goulko is 1710094578 and holds a License No. MA065361 (NJ). The current practice location address for Olga Goulko is 2125 Center Ave Ste 200, Fort Lee, NJ 07024-5810 and can be reached out via phone at 201-461-5655 and via fax at 201-461-1181.

Provider Profile Details

NPI Number
1710094578
Provider Name
Olga Goulko
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2125 Center Ave Ste 200, Fort Lee, NJ 07024-5810
Phone Number
201-461-5655
Fax Number
201-461-1181
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2125 Center Ave Ste 200
Fort Lee, NJ 07024-5810
Zip
07024-5810
Phone Number
201-461-5655
Fax Number
201-461-1181
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2125 Center Ave Ste 200
Fort Lee, NJ 07024-5810
City
Fort Lee
State
NJ
Zip
07024-5810
Phone Number
201-461-5655
Fax Number
201-461-1181

License Information

License Number
MA065361
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Olga Goulko, MD?

The NPI number of Olga Goulko, MD is 1710094578. It was assigned on August 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Olga Goulko, MD?

Olga Goulko, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number MA065361.

Where does Olga Goulko, MD practice?

The practice location is 2125 Center Ave Ste 200, Fort Lee, NJ 07024-5810. The office can be reached at 201-461-5655 (phone) or 201-461-1181 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710094578 directly on the NPPES registry website.

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