Individual
DR. MARSHALL L. GOLDSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 E BEAVER AVE, STATE COLLEGE, PA 16801-4902
(814) 238-2862
(814) 234-2201
Mailing address
201 E BEAVER AVE, STATE COLLEGE, PA 16801-4902
(814) 238-2862
(814) 234-2201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE4231P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229290001
—
PA
Enumeration date
05/18/2006
Last updated
07/08/2007
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