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NPI Code Detail

MEDICARE: DR. CHERYL LYNN GOLDSTEIN M.ED, DPM

MEDICARE:  DR. CHERYL LYNN GOLDSTEIN  M.ED, DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristSC005921PA

General Provider Information

NPI Number : 1457567786
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL LYNN GOLDSTEIN M.ED, DPM
Provider Business Mailing Address
First Line : 2130 FREEPORT RD
Second Line : SUITE A
City : NATRONA HEIGHTS
State : PA
Zip : 15065-1542
Country : US
Telephone Number : 724-224-2498
Fax Number : 724-224-1192
Provider Business Practice Location Address
First Line : 2130 FREEPORT RD
Second Line : SUITE A
City : NATRONA HEIGHTS
State : PA
Zip : 15065-1542
Country : US
Telephone Number : 724-224-2498
Fax Number : 724-224-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 09/28/2012

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