Goldbaum, Thomas Spencer

Goldbaum, Thomas Spencer is an individual health care provider with primary practice located at 5530 Wisconsin Ave Suite 515, Chevy Chase MD 20815-4404. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Goldbaum, Thomas Spencer can be contacted via phone (301) 656-4064.

Contact Information

Primary practice address
5530 Wisconsin Ave Suite 515 Chevy Chase MD 20815-4404
Phone: (301) 656-4064
Fax: (410) 367-2069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0030885 Maryland
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD-30885 Maryland

Profile Details

NPI number 1275564593
LBN Legal business name Goldbaum, Thomas Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 31st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275564593 NPPES
Maryland MEDICAID 32331400
Maryland Other 103252

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