Active NPIIndividual provider

Mr. Mark J Goldstein, MD

Dermatology in New Haven, Connecticut

NPI Number1902947484
Practice location
1 Long Wharf Drive, #30, New Haven, CT 06511-5991
Fax
203-865-3344
Last updated
July 8, 2007

Mark J Goldstein is a Dermatology based in New Haven, CT. Mark J Goldstein practices in New Haven, CT and has the professional credentials of MD. The NPI Number for Mark J Goldstein is 1902947484 and holds a License No. 025369 (CT). The current practice location address for Mark J Goldstein is 1 Long Wharf Drive, #30, New Haven, CT 06511-5991 and can be reached out via phone at 203-787-4171 and via fax at 203-865-3344.

Provider Profile Details

NPI Number
1902947484
Provider Name
Mark J Goldstein
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Long Wharf Drive, #30, New Haven, CT 06511-5991
Phone Number
203-787-4171
Fax Number
203-865-3344
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Long Wharf Drive
#30
New Haven, CT 06511-5991
Zip
06511-5991
Phone Number
203-787-4171
Fax Number
203-865-3344
New Haven, CT 06511Get directions →

Provider Business Mailing Address Details

Address
1 Long Wharf Drive
#30
New Haven, CT 06511-5991
City
New Haven
State
CT
Zip
06511-5991
Phone Number
203-787-4171
Fax Number
203-865-3344

License Information

License Number
025369
License State
CT
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark J Goldstein, MD?

The NPI number of Mr. Mark J Goldstein, MD is 1902947484. It was assigned on February 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark J Goldstein, MD?

Mr. Mark J Goldstein, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 025369.

Where does Mr. Mark J Goldstein, MD practice?

The practice location is 1 Long Wharf Drive, #30, New Haven, CT 06511-5991. The office can be reached at 203-787-4171 (phone) or 203-865-3344 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902947484 directly on the NPPES registry website.

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