Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | R185125 | MD |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R185125 | MD |
N | 363LG0600X | Nurse Practitioner - Gerontology | R185125 | MD |
NPI | 1043852478 |
---|---|
Provider Name | Eric Goldschmidt |
First Address | Hunt Valley, MD 21030-1334 |
Second Address | Hunt Valley, MD 21030-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2019 |
Last Update Date | 01/12/2019 |