Provider Demographics
NPI:1538722590
Name:GOLDSTEIN, NOAH (MD)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 LAMOND AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-2021
Mailing Address - Country:US
Mailing Address - Phone:919-200-0512
Mailing Address - Fax:919-944-4381
Practice Address - Street 1:1010 LAMOND AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-2021
Practice Address - Country:US
Practice Address - Phone:919-200-0512
Practice Address - Fax:919-944-4381
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00700442084P0800X
NC2021-003652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry