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JARED GOLDSTEIN
7080 DEEPAGE DR COLUMBIA MD 210455219

JARED GOLDSTEIN is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1184778474. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9234032665. The primary specialty is PHYSICAL THERAPY. The organization is MARYLAND SPORTSCARE AND REHAB LLC. The address is 7080 DEEPAGE DR, , COLUMBIA, MD, 210455219. The zip code is 210455219.


Nation Provider ID1184778474
PAC ID by PECOS9234032665
Professional Enrollment IDI20040131000274
NameJARED GOLDSTEIN
Medical School NameOTHER
Graduation Year1999
Primary SpecialtyPHYSICAL THERAPY
All secondary specialties
Organization NameMARYLAND SPORTSCARE AND REHAB LLC
Group Practice PAC ID2860440427
Number of Group Practice members71
Address7080 DEEPAGE DR, , COLUMBIA, MD, 210455219
Hospital affiliation LBN
Graduation Year1999
Contact Number4103817000
Email Address[Show_Email_ID]

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