Individual
MICHAEL S. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 583-0360
(508) 583-0330
Mailing address
166 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 583-0360
(508) 583-0330
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054981
—
MA
Enumeration date
07/07/2005
Last updated
10/05/2011
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