Healthcare Provider Details

I. General information

NPI: 1952304370
Provider Name (Legal Business Name): DAVID A. GOLDSCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 08/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 N CALVERT ST STE 500
BALTIMORE MD
21218-6502
US

IV. Provider business mailing address

1838 GREENTREE RD STE 150
BALTIMORE MD
21208
US

V. Phone/Fax

Practice location:
  • Phone: 410-366-5600
  • Fax: 410-889-4952
Mailing address:
  • Phone: 410-602-9262
  • Fax: 410-602-9276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberD0016770
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: