Individual
DR. ALEXANDER GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 UNIVERSITY BLVD, SUITE 105, JUPITER, FL 33458
(561) 625-9575
(561) 625-9533
Mailing address
601 UNIVERSITY BLVD, SUITE 105, JUPITER, FL 33458
(561) 625-9575
(561) 625-9533
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
ME85291
FL
207R00000X
Internal Medicine Physician
ME85291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015061
ALL PPO
—
01
—
11306611
CAQH
—
01
—
21231237644
BEECH STREET
—
05
—
266708800
—
FL
01
—
62685
BCBS
FL
01
—
7293400
AETNA
—
01
—
820556723
CIGNA HEALTHCARE
—
01
—
9950
DIMENSION HEALTH
—
01
—
P00083413
PALMETTO MC
—
01
—
P2775296
OXFORD HEALTH
—
Enumeration date
01/11/2006
Last updated
08/31/2010
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