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Individual

WILLIAM GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2010 OLD WEST CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083-2712
(610) 789-8070
(610) 789-9937
Mailing address
PO BOX 660024, DALLAS, TX 75266-0024
(610) 789-8070
(610) 789-9937

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD027057E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD027057E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B064H14
MEDICARE
DE
01
097961U0U
MEDICARE
NJ
01
MD027057E
LICENSE FOR PA
PA
Enumeration date
09/08/2005
Last updated
10/18/2011
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