Individual
DR. LEON A GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 DURHAM RD STE 23, MADISON, CT 06443-2658
(203) 245-0350
Mailing address
141 DURHAM RD STE 23, MADISON, CT 06443-2658
(203) 245-0350
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
26163
CT
208200000X
Plastic Surgery Physician
MD06203
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026163CT01
BCBS
CT
01
—
2430002996
RAILROAD MEDICARE
—
01
—
411255
BCBS
RI
01
—
4357168
AETNA
—
Enumeration date
08/03/2006
Last updated
07/19/2019
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