MEDICARE: DONALD GOLDSTEIN RAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1124053590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD GOLDSTEIN RAC

Provider Business Mailing Address
First Line	:	102 PROGRESS DR
Second Line	:	SUITE 202
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2516
Country	:	US
Telephone Number	:	215-345-8141
Fax Number	:	215-345-8173

Provider Business Practice Location Address
First Line	:	102 PROGRESS DR
Second Line	:	SUITE 202
City	:	DOYLESTOWN
State	:	PA
Zip	:	18901-2516
Country	:	US
Telephone Number	:	215-345-8141
Fax Number	:	215-345-8173

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/20/2011

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Directions to “ DONALD GOLDSTEIN RAC” Practice Location

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