Individual
DR. BRIAN LOUIS GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
308 LEVERING MILL RD, BALA CYNWYD, PA 19004-2830
(610) 664-9555
(610) 660-5166
Mailing address
308 LEVERING MILL RD, BALA CYNWYD, PA 19004-2830
(610) 664-9555
(610) 660-5166
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
SC002852L
PA
213EP1101X
Primary Podiatric Medicine Podiatrist
SC002852L
PA
213ER0200X
Radiology Podiatrist
SC002852L
PA
213ES0000X
Sports Medicine Podiatrist
SC002852L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002852L
PA
213ES0131X
Foot Surgery Podiatrist
SC002852L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001045750
—
PA
Enumeration date
06/14/2006
Last updated
04/08/2010
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