Dr. Leonard Goldman, PA
Clinic/Center, Oral and Maxillofacial Surgery in Silver Spring, MD. Organization (NPI-2).
NPI number1376892018
StatusActive
Last updated in NPPESSep 7, 2012
Details
- NPI
- 1376892018
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Leonard Goldman, PA
- Organization subpart
- No
- Enumeration date
- Sep 7, 2012
- Last updated
- Sep 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0112X | Clinic/Center, Oral and Maxillofacial Surgery | 8392 | MD | Yes |
Practice location
12510 Prosperity DrSuite 250
Silver Spring, MD 20904-1663
Phone 301-622-2700
Mailing address
12510 Prosperity DrSuite 250
Silver Spring, MD 20904-1663
Authorized official
Leonard Jay Goldman
President
3016222700
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