Provider Demographics
NPI:1598254401
Name:ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA
Entity Type:Organization
Organization Name:ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA
Other - Org Name:GREATER WASHINGTON ORTHOPAEDIC GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-207-2030
Mailing Address - Street 1:19532 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5200
Mailing Address - Country:US
Mailing Address - Phone:301-589-3324
Mailing Address - Fax:301-515-0734
Practice Address - Street 1:19532 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5200
Practice Address - Country:US
Practice Address - Phone:301-589-3324
Practice Address - Fax:301-515-0734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-07
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies