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NPI Code Detail

MEDICARE: DR. PHILIP D. GOLDSTEIN M.D.

MEDICARE: DR. PHILIP D. GOLDSTEIN M.D.
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
1208000000XPediatrics PhysicianMD-028593-EPA

General Provider Information

NPI Number : 1285638742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP D. GOLDSTEIN M.D.
Provider Business Mailing Address
First Line : 1511 GLEN DR
Second Line :
City : MAPLE GLEN
State : PA
Zip : 19002-3106
Country : US
Telephone Number : 215-643-7761
Fax Number : 215-643-7762
Provider Business Practice Location Address
First Line : 2705 DEKALB PIKE
Second Line : STE 205
City : NORRISTOWN
State : PA
Zip : 19401-1852
Country : US
Telephone Number : 610-277-6400
Fax Number : 610-275-8861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 07/08/2007

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