Individual
MR. STUART H GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 1ST ST NW STE 2, PULASKI, VA 24301-5605
(540) 509-5269
(540) 980-0515
Mailing address
101 1ST ST NW STE 2, PULASKI, VA 24301-5605
(540) 509-5269
(540) 980-0515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0102049996
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010159199
—
VA
Enumeration date
09/08/2005
Last updated
07/22/2020
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