Individual
MR. JORDAN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
1295 NW 14TH ST, MIAMI, FL 33125-1610
(305) 243-8644
(305) 243-1820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD30815
ME
207RG0100X
Gastroenterology Physician
Primary
ME154625
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/29/2026
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