Individual
DR. RONALD GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 W REDWOOD ST, 6TH FLOOR, BALTIMORE, MD 21201-7005
(410) 328-5766
(410) 328-0098
Mailing address
405 W REDWOOD ST, 6TH FLOOR, BALTIMORE, MD 21201-7005
(410) 328-5766
(410) 328-0098
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0003589
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114311501
—
MD
01
—
32150001
CAREFIRST MARYLAND
MD
01
—
P00616041
RAILROAD MEDICARE PTAN
—
01
—
S045-0011
BLUE SHIELD FEP
DC
Enumeration date
08/25/2005
Last updated
10/01/2008
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