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Organization
EDWARD J. GOLDMAN, M.D.,P.A.
Active
Organization
EDWARD J. GOLDMAN, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD JAY GOLDMAN (PHYSICIAN/OWNER)
(443) 394-6400
Entity
Organization
Contact information
Practice address
25 CROSSROADS DRIVE, SUITE 412, OWINGS MILLS, MD 21117-5439
(443) 394-6400
(443) 394-9850
Mailing address
25 CROSSROADS DR, SUITE 412, OWINGS MILLS, MD 21117-5439
(443) 394-6400
(443) 394-9850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D76229
MD
207W00000X
Ophthalmology Physician
Primary
D30288
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
760010100
—
MD
05
—
760010100MD
—
MD
01
—
KA47
CAREFIRST
MD
Enumeration date
03/20/2007
Last updated
08/12/2010
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