Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 35-083072 | OH |
NPI | 1003924622 |
---|---|
Provider Name | Dr. Matthew J Goldschmidt |
First Address | Chagrin Falls, OH 44022 |
Second Address | Independence, OH 44131-2194 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 16/03/2016 |