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Individual

DR. RUSSELL JAY GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
(215) 762-2365
Mailing address
12 FRANKLIN VALLEY CIR, REISTERSTOWN, MD 21136-5812
(410) 790-0521

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT204473
PA

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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