Individual
BENJAMIN M GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124-2056
(314) 996-5900
Mailing address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124-2056
(314) 996-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29639
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110008424
RR MEDICARE
MO
05
—
202630927
—
MO
Enumeration date
07/24/2006
Last updated
02/12/2021
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