Active NPIIndividual provider

Jacki Goldstein, MD

Internal Medicine in South Glastonbury, Connecticut

NPI Number1912452020
Practice location
40 Old Farms RD, South Glastonbury, CT 06073-3714
Fax
—
Last updated
August 18, 2016

Jacki Goldstein is an Internal Medicine based in South Glastonbury, CT. Jacki Goldstein practices in South Glastonbury, CT and has the professional credentials of MD. The NPI Number for Jacki Goldstein is 1912452020 and holds a License No. 026132 (CT). The current practice location address for Jacki Goldstein is 40 Old Farms RD, South Glastonbury, CT 06073-3714 and can be reached out via phone at 860-833-5732.

Provider Profile Details

NPI Number
1912452020
Provider Name
Jacki Goldstein
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
40 Old Farms RD, South Glastonbury, CT 06073-3714
Phone Number
860-833-5732
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2016
Last Update Date
August 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Old Farms RD
South Glastonbury, CT 06073-3714
Zip
06073-3714
Phone Number
860-833-5732
South Glastonbury, CT 06073Get directions →

Provider Business Mailing Address Details

Address
40 Old Farms RD
South Glastonbury, CT 06073-3714
City
South Glastonbury
State
CT
Zip
06073-3714
Phone Number
860-833-5732

License Information

License Number
026132
License State
CT
Taxonomy
Internal Medicine · 207R00000X · 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 Jacki Goldstein, MD?

The NPI number of Jacki Goldstein, MD is 1912452020. It was assigned on August 18, 2016 and is currently active in the NPPES registry.

What is the specialty of Jacki Goldstein, MD?

Jacki Goldstein, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 026132.

Where does Jacki Goldstein, MD practice?

The practice location is 40 Old Farms RD, South Glastonbury, CT 06073-3714. The office can be reached at 860-833-5732 (phone).

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 1912452020 directly on the NPPES registry website.

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