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NPI Code Detail

MEDICARE: BENJAMIN GOLDMAN M.D.

MEDICARE: BENJAMIN GOLDMAN M.D.
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
1207R00000XInternal Medicine Physician35-049020OH
2208M00000XHospitalist Physician35049020OH
3207R00000XInternal Medicine Physician2008-01544NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831194109
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN GOLDMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 601643
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1643
Country : US
Telephone Number : 980-487-3678
Fax Number : 980-487-3294
Provider Business Practice Location Address
First Line : 201 E GROVER ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-3917
Country : US
Telephone Number : 980-487-3678
Fax Number : 980-487-3294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 10/22/2015

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Directions to “ BENJAMIN GOLDMAN M.D.” Practice Location

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