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NPI Code Detail

MEDICARE: DR. RICHARD D GOLDSTEIN M.D.

MEDICARE: DR. RICHARD D 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
1207X00000XOrthopaedic Surgery PhysicianME0033811FL

General Provider Information

NPI Number : 1972509941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD D GOLDSTEIN M.D.
Provider Business Mailing Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-764-8033
Fax Number : 954-764-5522
Provider Business Practice Location Address
First Line : 1414 SE 3RD AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1910
Country : US
Telephone Number : 954-764-8033
Fax Number : 954-764-5522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2007

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