Eric Goulston O.D.

NPI 1023114279 - Optometrist - 152W00000X

NPI Details
NPI 1023114279
Gender Male
Enumeration Date 09/15/2006
Last Updated 05/10/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
40 DRURY DR
LA PLATA MD, 20646-4220, US
Phone (301) 392-9122
Fax
Business Location
910 M ST NW
UNIT 127
WASHINGTON DC, 20001-6313, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Maryland
License Number TA1797
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According to our database, Dr. Eric Goulston O.D. NPI is 1023114279, taxonomy code is 152W00000X and license number is TA1797, license state is located at Maryland. Eric Goulston O.D. physically located at 40 Drury Dr, La Plata MD, 20646-4220. NPI Number Eric Goulston O.D. has the Individual type.

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1023114279 NPI number is provided on an as is basis without warranty of any kind. 1023114279 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Goulston O.D. are for informational purposes only.