Individual
JACK D GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.1208
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RI8073
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022384
RI BLUE CROSS BLUE SHIELD
RI
01
—
0900689
UNITED HEALTHCARE
PR
01
—
15131
NEIGHBORHOOD HEALTH
RI
01
—
200042974
RAILROAD MEDICARE
RI
01
—
202113
RI BLUE CHIP
RI
01
—
2432493
AETNA US HEALTHCARE
RI
01
—
2797369003
CIGNA
RI
01
—
61829
HARVARD PILGRIM HEALTH CA
RI
01
—
779577
TUFTS
RI
05
—
9020116
—
RI
Enumeration date
05/23/2005
Last updated
11/02/2009
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