Individual
JAIME ALLISON GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 SEYMOUR AVE STE 102, DERBY, CT 06418-1343
(203) 516-5303
(203) 732-8136
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 516-5303
(203) 732-8136
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
74330
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02811796
—
NY
Enumeration date
10/19/2006
Last updated
10/03/2023
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