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Individual

MARJORIE GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-3867
Mailing address
600 COMMODORE CT, UNIT 2625, PHILADELPHIA, PA 19146-5253

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN616186
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN616186
PA

Other

Enumeration date
03/22/2016
Last updated
04/17/2018
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