Individual
MITCHELL GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9880 BUSTLETON AVE, SUITE 332, PHILADELPHIA, PA 19115-2185
(215) 827-1570
(215) 827-1571
Mailing address
9880 BUSTLETON AVE STE 332, PHILADELPHIA, PA 19115-2144
(215) 827-1570
(215) 827-1571
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD-074027-L
PA
207RH0003X
Hematology & Oncology Physician
Primary
MD074027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101108164
—
PA
Enumeration date
03/27/2006
Last updated
03/18/2023
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