Provider Demographics
NPI:1346406147
Name:GOLDSTEIN, PHILLIP J (MD)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:J
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:704 WH SMITH BLVD
Mailing Address - Street 2:CAROLINA DIGESTIVE DISEASES, PA
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3761
Mailing Address - Country:US
Mailing Address - Phone:252-758-8181
Mailing Address - Fax:252-758-8182
Practice Address - Street 1:704 WH SMITH BLVD
Practice Address - Street 2:CAROLINA DIGESTIVE DISEASES, PA
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3761
Practice Address - Country:US
Practice Address - Phone:252-758-8181
Practice Address - Fax:252-758-8182
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2010-06-22
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Provider Licenses
StateLicense IDTaxonomies
NYAT3436929207RG0100X
NC2009-02033207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology