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NPI Code Detail

MEDICARE: MR. STUART H GOLDSTEIN DO

MEDICARE: MR. STUART H GOLDSTEIN DO
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
1208600000XSurgery Physician0102049996VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326032178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STUART H GOLDSTEIN DO
Provider Business Mailing Address
First Line : 101 1ST ST NW STE 2
Second Line :
City : PULASKI
State : VA
Zip : 24301-5605
Country : US
Telephone Number : 540-509-5269
Fax Number : 540-980-0515
Provider Business Practice Location Address
First Line : 101 1ST ST NW STE 2
Second Line :
City : PULASKI
State : VA
Zip : 24301-5605
Country : US
Telephone Number : 540-509-5269
Fax Number : 540-980-0515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/22/2020

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