Jack D Goldstein, MD1208
Jack D Goldstein, MD1208 is an Orthopaedic Surgery Physician in E Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2005.
- Licensed in
- RI
- In the registry since
- 2005
Practice location Address checks out
400 Massasoit Ave Ste 201E Providence, RI 02914-2012
Phone: (401) 919-5222
Fax: (401) 919-5227
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Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence RI8073 (RI) |
|---|
Record details
| NPI number | 1245233261 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD1208 |
| Sole proprietor | No |
| NPI enumerated | May 23, 2005 |
| Last updated in NPPES | November 2, 2009 |
| Mailing address | 400 Massasoit Ave, Suite 201, E Providence, RI 02914-2012 |