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NPI Code Detail

MEDICARE: SCOTT M GOLDSTEIN MD

MEDICARE: SCOTT M GOLDSTEIN MD
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
1207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianMD066767LPA
2207W00000XOphthalmology PhysicianMD066767LPA

General Provider Information

NPI Number : 1174532527
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT M GOLDSTEIN MD
Provider Business Mailing Address
First Line : 2661 RIVA RD STE 1030
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7131
Country : US
Telephone Number : 667-354-5528
Fax Number :
Provider Business Practice Location Address
First Line : 319 2ND STREET PIKE
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-3812
Country : US
Telephone Number : 215-355-4428
Fax Number : 215-355-0790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 03/22/2026

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Directions to “ SCOTT M GOLDSTEIN MD” Practice Location

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