# DR. JORDAN LOUIS GOLDSTEIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255591491
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036123920 | IL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 060734 | GA | — |
| 207X00000X | Orthopaedic Surgery Physician | ME105006 | FL | — |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 03/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 202735 | MEDICARE PTAN LOCALITY 15 | IL |
| 01 | — | 215827 | MEDICARE PTAN LOCALITY 99 | IL |
| 01 | — | 604530 | MEDICARE PTAN LOCALITY 16 | IL |