NPI 1902947484 · live from the CMS NPI Registry
Mark J Goldstein, MD
Dermatology in New Haven, CT. National Provider Identifier 1902947484, active.
NPI record
| NPI | 1902947484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1 Long Wharf Drive, #30, New Haven, CT 06511 |
| Practice phone | 203-787-4171 |
| Enumerated | February 9, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 025369 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.