Healthcare Provider Details

I. General information

NPI: 1871760140
Provider Name (Legal Business Name): JOSEPH FRANCIS GOODMAN II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW 4TH FLOOR (OTOLARYNGOLOGY)
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

2300 M ST NW 4TH FLOOR (OTOLARYNGOLOGY)
WASHINGTON DC
20037-1434
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3250
  • Fax: 202-741-3382
Mailing address:
  • Phone: 202-741-3250
  • Fax: 202-741-3382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number0116019785
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME112623
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD039978
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: