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NPI Code Detail

MEDICARE: STACEY MORGAN GOLDFINE D.O.

MEDICARE:   STACEY MORGAN GOLDFINE  D.O.
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
1207Q00000XFamily Medicine Physician5101017551MI
2207Q00000XFamily Medicine Physician05-27916KS
32083P0500XPreventive Medicine/Occupational Environmental Medicine Physician5101017551MI
4207QA0505XAdult Medicine Physician0102207401VA

General Provider Information

NPI Number : 1336134261
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY MORGAN GOLDFINE D.O.
Provider Business Mailing Address
First Line : 2901 S LYNNHAVEN RD STE 450
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-8524
Country : US
Telephone Number : 757-351-4585
Fax Number : 248-792-3927
Provider Business Practice Location Address
First Line : 2901 S LYNNHAVEN RD STE 450
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-8524
Country : US
Telephone Number : 757-351-4585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 10/20/2022

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Directions to “ STACEY MORGAN GOLDFINE D.O.” Practice Location

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