Provider Demographics
NPI:1174584742
Name:GOLDFINE, LEWIS J (MD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:J
Last Name:GOLDFINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1302 SAINT ALBANS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3732
Mailing Address - Country:US
Mailing Address - Phone:410-484-7986
Mailing Address - Fax:410-605-7965
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:VA MARYLAND HEALTH CARE SYSTEM/PM&R 2C-118
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:410-605-7965
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0004798208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB69896Medicare UPIN