Provider Demographics
NPI:1285770123
Name:GOLDSTEIN, ARNOLD LEWIS (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:LEWIS
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:385 OXFORD VALLEY RD STE 311
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7704
Mailing Address - Country:US
Mailing Address - Phone:215-752-8889
Mailing Address - Fax:215-757-5910
Practice Address - Street 1:385 OXFORD VALLEY RD STE 311
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-7704
Practice Address - Country:US
Practice Address - Phone:215-752-8889
Practice Address - Fax:215-757-5910
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021042E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC26022Medicare UPIN
PA001541Medicare PIN