Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | MD011991E | PA |
NPI | 1972555480 |
---|---|
Provider Name | Dr. Donald Peter Goldsmith |
First Address | Jenkintown, PA 19046-3106 |
Second Address | Philadelphia, PA 19134-1095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006653110003 | (05) | PA |
C32222 | (02) | PA |