Goldstein, Michael S.

Goldstein, Michael S. is an individual health care provider with primary practice located at 166 Quincy Ave , Brockton MA 02302-2803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Goldstein, Michael S. can be contacted via phone (508) 583-0360.

Contact Information

Primary practice address
166 Quincy Ave Brockton MA 02302-2803
Fax: (508) 583-0330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36668 Massachusetts

Profile Details

NPI number 1487652137
LBN Legal business name Goldstein, Michael S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 5th, 2011 - about 13 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 1487652137 NPPES
Massachusetts MEDICAID 2054981

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