Provider Demographics
NPI:1679342422
Name:ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA
Entity type:Organization
Organization Name:ELLIOT R GOLDSTEIN MD & JOEL R SCHULMAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-251-0509
Mailing Address - Street 1:6000 EXECUTIVE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-251-0509
Mailing Address - Fax:
Practice Address - Street 1:16220 FREDERICK RD STE 427
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4005
Practice Address - Country:US
Practice Address - Phone:301-948-2995
Practice Address - Fax:301-948-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies