Provider Demographics
NPI:1255327870
Name:GOLDSHEIN, MARK GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:GILBERT
Last Name:GOLDSHEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 E PEARL ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3461
Mailing Address - Country:US
Mailing Address - Phone:978-470-3140
Mailing Address - Fax:978-470-2418
Practice Address - Street 1:8 E PEARL ST
Practice Address - Street 2:ASSOCIATED RADIOLOGISTS, PA
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3461
Practice Address - Country:US
Practice Address - Phone:603-883-4636
Practice Address - Fax:603-883-6854
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2016-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH110912085R0202X
MA453422085R0202X
CAG855432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology