Provider Demographics
NPI:1457567786
Name:GOLDSTEIN, CHERYL LYNN (MED, DPM)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:LYNN
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MED, DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2130 FREEPORT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1542
Mailing Address - Country:US
Mailing Address - Phone:724-224-2498
Mailing Address - Fax:724-224-1192
Practice Address - Street 1:2130 FREEPORT RD
Practice Address - Street 2:SUITE A
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1542
Practice Address - Country:US
Practice Address - Phone:724-224-2498
Practice Address - Fax:724-224-1192
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC005921213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery