1639141815 NPI number — DAVID R GOLDSTEIN M.D.

Table of content: DAVID R GOLDSTEIN M.D. (NPI 1639141815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639141815 NPI number — DAVID R GOLDSTEIN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOLDSTEIN
Provider First Name:
DAVID
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639141815
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 BUSTLETON AVENUE, SUITE 100
Provider Second Line Business Mailing Address:
KRAMER OB/GYN & ASSOCIATES
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19152
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-543-0060
Provider Business Mailing Address Fax Number:
215-543-0099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7901 BUSTLETON AVENUE, SUITE 100
Provider Second Line Business Practice Location Address:
KRAMER OB/GYN & ASSOCIATES
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19152
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-543-0060
Provider Business Practice Location Address Fax Number:
215-543-0099
Provider Enumeration Date:
02/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MA079240 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X , with the licence number: MD423541 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)