MEDICARE: ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477042448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA

Provider Business Mailing Address
First Line	:	1400 FOREST GLEN RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1482
Country	:	US
Telephone Number	:	301-589-3324
Fax Number	:	301-681-7575

Provider Business Practice Location Address
First Line	:	1400 FOREST GLEN RD STE 400
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1482
Country	:	US
Telephone Number	:	301-589-3324
Fax Number	:	301-681-7575

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LORI WEISEL
Credential	:
Telephone Number	:	240-207-2030

Provider Enumeration Date	:	05/06/2018
Last Update Date	:	05/06/2018

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