Provider Demographics
NPI:1245597251
Name:GOODSTEIN, LINDSAY ARIEL
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ARIEL
Last Name:GOODSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 SUMNEYTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-1011
Mailing Address - Country:US
Mailing Address - Phone:267-865-0003
Mailing Address - Fax:267-865-0006
Practice Address - Street 1:909 SUMNEYTOWN PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-1011
Practice Address - Country:US
Practice Address - Phone:267-865-0003
Practice Address - Fax:267-865-0006
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-15
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD460019207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032610770002Medicaid