Doctor Name: | DR. MATTHEW J GOLDSCHMIDT |
NPI Number: | 1003924622 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, DMD, FACS |
License Number: | 35-083072 |
Business Practice Address: | 5005 Rockside Rd Suite 900 Independence, OH - 441312194 |
Business Phone Number: | 2162648100 |
Business Fax Number: | |
Mailing Address: | 220 Nob Hill Oval, CHAGRIN FALLS |
State: | OH |
Postal Code: | 44022 |
Phone Number: | 2184100618 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 35-083072 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |