Healthcare Provider Details

I. General information

NPI: 1710807334
Provider Name (Legal Business Name): DAVID WILLIAM GOLDSBOROUGH JR. RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 OLD GEORGETOWN RD
BETHESDA MD
20814-1422
US

IV. Provider business mailing address

15250 SIESTA KEY WAY APT 464
ROCKVILLE MD
20850-5571
US

V. Phone/Fax

Practice location:
  • Phone: 301-896-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR214661
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: