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Organization

MICHAEL S. GOLDSTEIN, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL S GOLDSTEIN M.D. (M.D.)
(508) 853-0360
Entity
Organization

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
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2054981
MA
Enumeration date
01/02/2007
Last updated
07/21/2022
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