Provider Demographics
NPI:1437102910
Name:GOLDMAN, CHRISTOPHER J (MS, ATC, NCSF)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:GOLDMAN
Suffix:
Gender:M
Credentials:MS, ATC, NCSF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 NETTIES LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-6089
Mailing Address - Country:US
Mailing Address - Phone:202-225-6658
Mailing Address - Fax:
Practice Address - Street 1:SB 319 RAYBURN BUILDING
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20515-0001
Practice Address - Country:US
Practice Address - Phone:202-225-6658
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist