Alben G Goldstein MD PC

Organization Active NPI Rheumatology Physician · Arlington, VA

NPI 1407986151 · NPPES record last updated Mar 14, 2013

Key facts

NPI
1407986151
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
Legal business name
ALBEN G GOLDSTEIN MD PC
Practice address
611 S Carlin Springs Road
Suite 202
Arlington, VA 22204
Phone
(703) 379-5828
Fax
(703) 379-5827
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Marian L Gonzalez
Title
Billing MGR
Phone
(703) 379-5828

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040105000787 DC Part B Supplier - Clinic/Group Practice 3476452871 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, VA

National Provider Directory

Locations

611 S Carlin Springs Rd
Ste 202
Arlington, VA 22204
Phone (703) 379-5828

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RR0500X Yes

Addresses

Primary practice location

611 S Carlin Springs Road
Suite 202
Arlington, VA 22204

Mailing address

611 S Carlin Springs Road
Suite 202
Arlington, VA 22204
Phone (703) 379-5828

Other providers in Arlington, VA

All providers in Arlington, VA · Rheumatology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.