Individual
MR. MARK J GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LONG WHARF DRIVE, #30, NEW HAVEN, CT 06511-5991
(203) 787-4171
(203) 865-3344
Mailing address
1 LONG WHARF DRIVE, #30, NEW HAVEN, CT 06511-5991
(203) 787-4171
(203) 865-3344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025369
CT
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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