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NPI Code Detail

MEDICARE: JOHN P. GOLDFIELD PA-C

MEDICARE:   JOHN P. GOLDFIELD  PA-C
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
1363A00000XPhysician Assistant104133NC

General Provider Information

NPI Number : 1164408878
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN P. GOLDFIELD PA-C
Provider Business Mailing Address
First Line : 2501 BLUE RIDGE RD STE 250
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6346
Country : US
Telephone Number : 919-863-4128
Fax Number : 919-863-4157
Provider Business Practice Location Address
First Line : 2501 BLUE RIDGE RD STE 250
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6346
Country : US
Telephone Number : 919-863-4128
Fax Number : 919-863-4157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 03/30/2021

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Directions to “ JOHN P. GOLDFIELD PA-C” Practice Location

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