Individual provider · NPI-1

Stacey Morgan Goldfine, D.O.

Family Medicine, Adult Medicine · Virginia Beach, VA

NPI number1336134261
StatusActive
Last updated in NPPESOct 20, 2022

Details

NPI
1336134261
Entity type
Individual (NPI-1)
Name
Stacey Morgan Goldfine
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 16, 2005
Certification date
Oct 20, 2022
Last updated
Oct 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QA0505X Family Medicine, Adult Medicine0102207401VAYes
207Q00000X Family Medicine5101017551MI
207Q00000X Family Medicine05-27916KS
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine5101017551MI

Practice location

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524

Phone 757-351-4585

Mailing address

2901 S Lynnhaven Rd Ste 450
Virginia Beach, VA 23452-8524

Phone 757-351-4585 · Fax 248-792-3927

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