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Individual

JEFFREY BRIAN GOLDSTEIN

Active
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Individual

JEFFREY BRIAN GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200000434
NC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
200000434
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126JT
BCBS OF NC
NC
01
180041107
PALMETTO GBA
NC
05
89126JT
NC
Enumeration date
11/14/2005
Last updated
04/07/2017
Update your record

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