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1366829210

NPI Code Detail

MEDICARE: ERIC GOLDSTEIN MD

MEDICARE: ERIC 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
1	2084V0102X	Vascular Neurology Physician	MD18022	RI
2	2084V0102X	Vascular Neurology Physician	4301511235	MI
3	2084N0400X	Neurology Physician	4301511235	MI
4	2084N0400X	Neurology Physician	MD18022	RI
5	2084N0400X	Neurology Physician	ME129158	FL

General Provider Information

NPI Number	:	1366829210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC GOLDSTEIN MD

Provider Business Mailing Address
First Line	:	2799 W GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2608
Country	:	US
Telephone Number	:	313-916-2455
Fax Number	:	313-916-5117

Provider Business Practice Location Address
First Line	:	2799 W GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2608
Country	:	US
Telephone Number	:	313-916-2455
Fax Number	:	313-916-5117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	01/30/2026

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Directions to “ ERIC GOLDSTEIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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