Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Goslen Aesthetic & Skin Center

Organization Medical Specialty Clinic/Center · NPI 1134149842

The Goslen Aesthetic & Skin Center is a Medical Specialty Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1918 Randolph Rd Ste 550
Charlotte, NC 28207-1100
Phone: (704) 375-6766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1134149842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Girish Munavalli — Medical Director · (704) 375-6766
Other names J Blake Goslen Md Pa
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100

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