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NPI Code Detail

MEDICARE: DR. STEVEN L GOLDMAN DPM

MEDICARE: DR. STEVEN L GOLDMAN DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPOD-000926AZ

General Provider Information

NPI Number : 1285616128
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN L GOLDMAN DPM
Provider Business Mailing Address
First Line : 1501 BALCH DR S APT 204
Second Line :
City : LEESBURG
State : VA
Zip : 20175-4704
Country : US
Telephone Number : 516-426-9365
Fax Number : 484-377-5655
Provider Business Practice Location Address
First Line : 510 BUTLER AVE
Second Line :
City : MARTINSBURG
State : WV
Zip : 25405-9990
Country : US
Telephone Number : 304-263-0811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 04/01/2021

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