Provider Demographics
NPI:1871845107
Name:GOLDSTEIN, MEGAN ANNE (LM)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNE
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 AUTUMN OAK CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-5434
Mailing Address - Country:US
Mailing Address - Phone:925-324-8434
Mailing Address - Fax:
Practice Address - Street 1:959 AUTUMN OAK CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-5434
Practice Address - Country:US
Practice Address - Phone:925-324-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife