Healthcare Provider Details

I. General information

NPI: 1568606473
Provider Name (Legal Business Name): STEPHANIE L GOFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE GOFF DOWNEY M.D.

II. Dates (important events)

Enumeration Date: 04/22/2009
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR STE 3W-5930
BETHESDA MD
20892-1201
US

IV. Provider business mailing address

4808 MOORLAND LN APT 1011
BETHESDA MD
20814-6141
US

V. Phone/Fax

Practice location:
  • Phone: 240-760-6214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number60238062
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: