Individual
SCOTT I GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3091
(215) 456-6679
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS013617
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07645
HEALTH PARTNERS
PA
01
—
101722602-01
AMERICHOICE- TORRES
PA
01
—
101722602-02
AMERICHOICE- FRANKFORD
PA
01
—
101722602-03
AMERICHOICE- BUCKS
PA
05
—
1017226020001
—
PA
05
—
1017226020002
—
PA
05
—
1017226020003
—
PA
01
—
1900816
HIGHMARK BLUE SHIELD
PA
01
—
2767668000
KEYSTONE IBC
PA
01
—
30035894
KEYSTONE MERCY
PA
01
—
452729
AETNA CONTRACT
PA
Enumeration date
07/26/2006
Last updated
05/25/2011
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