Joseph Goldfedder, LAC
Individual provider Active NPI Acupuncturist · Wilmington, DE
NPI 1033576830 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1033576830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- CQ-T000001 (DE)
- Practice address
- 536 Greenhill Ave
Wilmington, DE 19805-1851 - Phone
- (302) 660-7600
- Fax
- (302) 660-7610
- NPI assigned
- Jan 25, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CQ-T000001 | DE | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | CQ-T000001 | DE | Yes |
Addresses
Primary practice location
536 Greenhill Ave
Wilmington, DE 19805-1851
Mailing address
536 Greenhill Ave
Wilmington, DE 19805-1851
Phone (302) 660-7600
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.