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Individual

DR. MARK EDWARD GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038474
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000117883
ANTHEM
OH
05
0284320
OH
01
038474
MEDICAL LICENSE
OH
01
31-0993335-01
WC-GP
OH
01
3109933350226
CARESOURCE
OH
01
NONE
NONE
OH
Enumeration date
11/02/2006
Last updated
03/07/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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