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Organization

ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA

Active
Other names
Physician Associates
Organization subpart
No

Provider details

NPI number
Authorized official
LORI WEISEL (PRACTICE ADMINISTRATOR)
(240) 207-2030
Entity
Organization

Contact information

Practice address
5530 WISCONSIN AVE, SUITE 645, CHEVY CHASE, MD 20815-4404
(301) 656-4545
Mailing address
6000 EXECUTIVE BLVD, SUITE 300, ROCKVILLE, MD 20852-3803
(301) 468-8999

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207R00000X
Internal Medicine Physician
Primary
MD
207X00000X
Orthopaedic Surgery Physician
MD
208800000X
Urology Physician
MD
213E00000X
Podiatrist
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
404178
CAREFIRST POS GROUP #
MD
01
832407
MDIPA GROUP NUMBER
MD
01
9070
BSDC GROUP NUMBER
MD
01
S204
BSMD GROUP NUMBER
MD
Enumeration date
06/24/2006
Last updated
12/14/2011
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