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NPI Code Detail

MEDICARE: DR. NEAL STEWART GOLDSTEIN M.D.

MEDICARE:  DR. NEAL STEWART GOLDSTEIN  M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician4301064488MI
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG63732CA
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician23D2013964MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1220F362370OTHERMIBCBSM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578523643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NEAL STEWART GOLDSTEIN M.D.
Provider Business Mailing Address
First Line : 31 COLUMBIA
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-1460
Country : US
Telephone Number : 248-499-0156
Fax Number :
Provider Business Practice Location Address
First Line : 6455 MISSION COURT
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48324-1399
Country : US
Telephone Number : 313-486-9008
Fax Number : 313-486-9044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 11/13/2013

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Directions to “ DR. NEAL STEWART GOLDSTEIN M.D.” Practice Location

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