Individual
DR. JORDAN LOUIS GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036123920
IL
207X00000X
Orthopaedic Surgery Physician
060734
GA
207X00000X
Orthopaedic Surgery Physician
ME105006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202735
MEDICARE PTAN LOCALITY 15
IL
01
—
215827
MEDICARE PTAN LOCALITY 99
IL
01
—
604530
MEDICARE PTAN LOCALITY 16
IL
Enumeration date
06/11/2008
Last updated
03/03/2010
Update your record
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