Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK D GOLDSTEIN, M.D.1208
ActiveJACK D GOLDSTEIN, M.D.1208 is a Orthopaedic Surgery healthcare provider located in E PROVIDENCE, Rhode Island. NPI 1245233261 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery · E PROVIDENCE, RI
Registration Details
- NPI Number
- 1245233261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.243040778429 yrs)
- Last Updated
- Nov 2, 2009
- License
-
RI8073 (RI)
Practice Information
- Address
-
400 MASSASOIT AVESUITE 201E PROVIDENCE, RI, 029142012Browse RI providers · Browse ZIP 02914
- Phone
- 4019195222
- Fax
- 4019195227
- Primary Specialty
-
Orthopaedic Surgery
207X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.