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Individual

EDWARD MARK GOLDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E SCHUSTER AVE, EL PASO, TX 79902-3556
(915) 542-3059
(915) 533-2504
Mailing address
100 E SCHUSTER AVE, EL PASO, TX 79902-3556
(915) 542-3059
(915) 533-2504

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
E9208
TX
207Y00000X
Otolaryngology Physician
Primary
E9208
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134873202
TX
Enumeration date
08/24/2006
Last updated
12/03/2018
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