Individual
DR. JOEL JAY GOLDWASSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9403 HARFORD RD, SUITE 1, BALTIMORE, MD 21234-3123
(410) 882-0720
(410) 882-6767
Mailing address
3406 BIRCH HOLLOW RD, BALTIMORE, MD 21208-1839
(410) 484-6718
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32162001
BLUECROSS/BLUESHIELD
MD
Enumeration date
10/17/2006
Last updated
07/08/2007
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