Individual
MR. CRAIG MICHAEL GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
(203) 699-9641
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-1379
(203) 250-9663
(203) 699-9641
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
005678
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005678CT01
ANTHEM BCBS
—
01
—
100901
HEALTHNET ORTHONET
—
01
—
12701
CIGNA ORTHONET
—
01
—
237036
AETNA
—
01
—
2V8125
HEALTHNET
—
01
—
3672389002
CIGNA
—
05
—
4209674
—
CT
01
—
6404292
UNITED HEALTH CARE
—
01
—
754954
CONNECTICARE
—
01
—
A2646342
OXFORD HEALTH CARE
—
Enumeration date
02/01/2007
Last updated
06/29/2020
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