Individual
DR. EDWARD M GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(319) 428-4463
(619) 428-2625
Mailing address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(319) 428-4463
(619) 428-2625
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G20087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC1888OF
MEDI CAL
—
Enumeration date
08/14/2006
Last updated
07/08/2007
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