Healthcare Provider Details

I. General information

NPI: 1942409487
Provider Name (Legal Business Name): BARBARA GOLDSTEIN CO, CFOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 N 16 ST 101
PHOENIX AZ
85016-3213
US

IV. Provider business mailing address

PO BOX 10316
PHOENIX AZ
85064-0316
US

V. Phone/Fax

Practice location:
  • Phone: 602-234-9568
  • Fax: 602-957-2562
Mailing address:
  • Phone: 602-234-9568
  • Fax: 602-957-2562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: