Goldstein, Gerald Bruce
Goldstein, Gerald Bruce is an individual health care provider with primary practice located at 2320 N Wyatt Dr Suite 71, Tucson AZ 85712-2151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Goldstein, Gerald Bruce can be contacted via phone (520) 318-1860.Contact Information
Primary practice address
2320 N Wyatt Dr Suite 71
Tucson AZ 85712-2151
Phone: (520) 318-1860
Fax: (520) 318-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 7108 | Arizona |
Profile Details
| NPI number | 1104920123 |
|---|---|
| LBN Legal business name | Goldstein, Gerald Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Nov 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104920123 | NPPES |
| Arizona | MEDICAID | 203175 |
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