Healthcare Provider Details

I. General information

NPI: 1952395600
Provider Name (Legal Business Name): JOEL H. GOLDSTEIN MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4999 E KENTUCKY AVE STE 201
DENVER CO
80246-3901
US

IV. Provider business mailing address

4999 E KENTUCKY AVE STE 201
DENVER CO
80246-3901
US

V. Phone/Fax

Practice location:
  • Phone: 303-691-0505
  • Fax: 303-782-9024
Mailing address:
  • Phone: 303-691-0505
  • Fax: 303-782-9024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number16348
License Number StateCO

VIII. Authorized Official

Name: DR. JOEL H GOLDSTEIN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-691-0505