Individual
DR. JONATHAN WILLIAM GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4702
(502) 895-8970
(502) 895-8971
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 895-8970
(502) 895-8971
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
38859
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64115033 (KOHMG)
—
KY
Enumeration date
02/24/2007
Last updated
09/12/2016
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