Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 0101036562 | VA |
NPI | 1033198072 |
---|---|
Provider Name | Nathan P Goldin |
First Address | Virginia Beach, VA 23462-1815 |
Second Address | Suffolk, VA 23435-3796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 23/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007502044 | (05) | VA |
25058 | SENTARA HEALTHCARE (01) | VA |
332753 | ANTHEM BC BS (01) | VA |
C36625 | (02) |