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NPI Code Detail

MEDICARE: MRS. LINDA W GOOD MD

MEDICARE: MRS. LINDA W GOOD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD041004EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386699957
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA W GOOD MD
Provider Business Mailing Address
First Line : 760 CARPENTER LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-3406
Country : US
Telephone Number : 215-848-6880
Fax Number : 215-848-3333
Provider Business Practice Location Address
First Line : 760 CARPENTER LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-3406
Country : US
Telephone Number : 215-848-6880
Fax Number : 215-848-3333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 08/17/2010

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