Organization Name: | CHARLES GOLDSTEIN PC |
NPI Number: | 1700920386 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBI SHAKLEE (OFFICE MANAGER) |
Mailing Address: | 4535 S Kipling St Littleton |
State: | CO US |
Postal Code: | 801271139 |
Phone Number: | 3039730798 |
Fax Number: | 3039730314 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |