Individual
STEPHEN M. GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 SPRUCE ST, SUITE 100, PHILADELPHIA, PA 19106-4022
(215) 829-5311
(215) 829-3091
Mailing address
700 SPRUCE ST, SUITE 100, PHILADELPHIA, PA 19106-4022
(215) 829-5311
(215) 829-3091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD036832E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1239987
—
PA
Enumeration date
09/08/2005
Last updated
06/29/2010
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