Provider Demographics
NPI:1932300217
Name:GOLDSTRICH, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:GOLDSTRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W 46TH TER
Mailing Address - Street 2:APT. 209
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1545
Mailing Address - Country:US
Mailing Address - Phone:515-556-5232
Mailing Address - Fax:515-556-5232
Practice Address - Street 1:333 W 46TH TER
Practice Address - Street 2:APT 209
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1545
Practice Address - Country:US
Practice Address - Phone:515-556-5232
Practice Address - Fax:515-556-5232
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008006401207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease