Provider Demographics
NPI:1982975884
Name:GOLDSTEIN, MORTON LAWRENCE (MD)
Entity type:Individual
Prefix:DR
First Name:MORTON
Middle Name:LAWRENCE
Last Name:GOLDSTEIN
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 1:540 N NEVILLE ST
Mailing Address - Street 2:APT 802
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2853
Mailing Address - Country:US
Mailing Address - Phone:412-687-7556
Mailing Address - Fax:
Practice Address - Street 1:540 N NEVILLE ST
Practice Address - Street 2:APT 802
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2853
Practice Address - Country:US
Practice Address - Phone:412-687-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026147L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology