Provider Demographics
NPI:1174500060
Name:GOLDSTEIN, HOWARD D (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:D
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:116 DEFENSE HIGHWAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-897-9841
Mailing Address - Fax:410-897-9852
Practice Address - Street 1:116 DEFENSE HIGHWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-897-9841
Practice Address - Fax:410-897-9852
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2016-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0026743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0026743OtherSTATE LICENSE
MD646L227DMedicare PIN
D76231Medicare UPIN