Healthcare Provider Details

I. General information

NPI: 1124976568
Provider Name (Legal Business Name): BENJAMIN S GOLDSTEIN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 REISTERSTOWN RD STE 202
PIKESVILLE MD
21208-4135
US

IV. Provider business mailing address

1100 REISTERSTOWN RD STE 202
PIKESVILLE MD
21208-4135
US

V. Phone/Fax

Practice location:
  • Phone: 240-821-4087
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN GOLDSTEIN
Title or Position: PHYSICIAN
Credential:
Phone: 240-821-4087