Goldstein, Max Austin

Goldstein, Max Austin is an sole proprietor health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2045. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Goldstein, Max Austin can be contacted via phone (860) 456-6715.

Contact Information

Primary practice address
112 Mansfield Ave Willimantic CT 06226-2045
Phone: (860) 456-6715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 049920 Connecticut

Profile Details

NPI number 1578754164
LBN Legal business name Goldstein, Max Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Nov 19th, 2014 - about 12 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.

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