Individual
DR. LARRY E. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT STREET, SUITE 703, PHILADELPHIA, PA 19107-4414
(215) 955-1000
(215) 923-2275
Mailing address
833 CHESTNUT STREET, SUITE 703, PHILADELPHIA, PA 19107-4414
(215) 955-1000
(215) 923-2275
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
PAK000141
PA
208800000X
Urology Physician
MD-015799-E
PA
208800000X
Urology Physician
Primary
MD015799E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000678427 0008
—
PA
05
—
7901607
—
NJ
Enumeration date
07/19/2006
Last updated
07/08/2014
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