Individual
DR. THOMAS SPENCER GOLDBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 515, CHEVY CHASE, MD 20815-4404
(301) 656-4064
(410) 367-2069
Mailing address
5530 WISCONSIN AVE, SUITE 515, CHEVY CHASE, MD 20815-4404
(301) 656-4064
(410) 367-2069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0030885
MD
207RC0000X
Cardiovascular Disease Physician
Primary
MD-30885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103252
MEDICARE
MD
05
—
32331400
—
MD
Enumeration date
07/05/2006
Last updated
12/31/2015
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