Healthcare Provider Details

I. General information

NPI: 1306872072
Provider Name (Legal Business Name): ELLIOT R GOLDSTEIN JOEL R SCHULMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19500 AMARANTH DR SUITE B
GERMANTOWN MD
20874-1209
US

IV. Provider business mailing address

6000 EXECUTIVE BLVD SUITE 300
ROCKVILLE MD
20852-3803
US

V. Phone/Fax

Practice location:
  • Phone: 301-528-7110
  • Fax:
Mailing address:
  • Phone: 301-468-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateMD

VIII. Authorized Official

Name: REBECCA MCCASLAND
Title or Position: OFFICE MANAGER AND CFO
Credential:
Phone: 301-468-8999