Provider Demographics
NPI:1487081196
Name:GOLDSZTAJN, HARRY JACK (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:JACK
Last Name:GOLDSZTAJN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3450 LANTANA RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1329
Mailing Address - Country:US
Mailing Address - Phone:561-965-1864
Mailing Address - Fax:561-967-5005
Practice Address - Street 1:3450 LANTANA RD
Practice Address - Street 2:STE 100
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33462-1329
Practice Address - Country:US
Practice Address - Phone:561-965-1864
Practice Address - Fax:561-967-5005
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME82381207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology