Individual provider · Type 1 NPI

Joshua A. Goldwag, MD

Student in an Organized Health Care Education/Training Program · Southampton, NY

NPI number 1245080258 Active

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Fax (631) 726-8805

Mailing address

43 New Scotland Ave
Albany, NY 12208-3478

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245080258

Joshua A. Goldwag, MD's National Provider Identifier is 1245080258, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southampton, NY. The record was last updated on Jun 13, 2025.