| Doctor Name: | DR. BRIAN LOUIS GOLDSTEIN |
| NPI Number: | 1093758021 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC002852L |
| Business Practice Address: | 308 Levering Mill Rd Bala Cynwyd, PA - 190042830 |
| Business Phone Number: | 6106649555 |
| Business Fax Number: | 6106605166 |
| Mailing Address: | 308 Levering Mill Rd, BALA CYNWYD |
| State: | PA |
| Postal Code: | 190042830 |
| Phone Number: | 6106649555 |
| Fax Number: | 6106605166 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP0504X |
| License Number: | SC002852L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Public Medicine |
| Taxonomy Definition: | |