Individual
DR. MARK G GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19735 GERMANTOWN RD STE 255, GERMANTOWN, MD 20874-1219
(301) 571-0019
(301) 530-2515
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(239) 432-8331
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043952
CT
207RH0003X
Hematology & Oncology Physician
Primary
D0067691
MD
207RH0003X
Hematology & Oncology Physician
MD438212
PA
207RX0202X
Medical Oncology Physician
D67691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
418915900
—
MD
Enumeration date
06/21/2006
Last updated
02/16/2023
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