Individual
ETHAN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW DEPT OF, WASHINGTON, DC 20010-3017
(202) 877-7445
Mailing address
110 IRVING ST NW DEPT OF, WASHINGTON, DC 20010-3017
(202) 877-7445
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
D85130
MD
Other
Enumeration date
06/25/2015
Last updated
08/26/2019
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