Individual
JUDITH E. GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-0580
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(109) 336-3404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1235
MD
207W00000X
Ophthalmology Physician
TA1235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360808500
—
MD
Enumeration date
07/05/2006
Last updated
11/02/2023
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