Individual
DR. DANIEL TODD GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 ARK RD, SUITE 105, MOUNT LAUREL, NJ 08054-3100
(856) 235-7080
Mailing address
204 ARK RD, SUITE 105, MOUNT LAUREL, NJ 08054-3100
(856) 235-7080
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
254020
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD440920
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT193526
PA
Other
Enumeration date
06/17/2008
Last updated
05/01/2015
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