Provider Demographics
NPI:1215086426
Name:GOLDSMAN, HELENE (MD)
Entity type:Individual
Prefix:DR
First Name:HELENE
Middle Name:
Last Name:GOLDSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:105 PAMUNKEY TURN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-2740
Mailing Address - Country:US
Mailing Address - Phone:757-865-0517
Mailing Address - Fax:757-865-3824
Practice Address - Street 1:500 J CLYDE MORRIS BLVD
Practice Address - Street 2:ANNEX 2ND FLOOR PENINSULA PULMONARY ASSOCIATES
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1929
Practice Address - Country:US
Practice Address - Phone:757-594-2732
Practice Address - Fax:757-594-3824
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101042746207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005870997Medicaid
VA317465OtherANTHEM BCBS
VA005870997Medicaid
VAE16549Medicare UPIN