Individual
JEREMIAH GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 A ST, ST. CHRISTOPER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134-1043
(215) 427-8362
(215) 427-4317
Mailing address
3601 A ST, ST. CHRISTOPER'S HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19134-1043
(215) 427-8362
(215) 427-4317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD054922L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01558675
—
PA
Enumeration date
06/06/2006
Last updated
08/17/2015
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