Healthcare Provider Details

I. General information

NPI: 1932160876
Provider Name (Legal Business Name): LINDA S GOGGIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 BERRHILL DR
WILLIAMSTOWN NJ
08094-3669
US

IV. Provider business mailing address

3130 ELLIS ST
BELLINGHAM WA
98225-1904
US

V. Phone/Fax

Practice location:
  • Phone: 434-248-7508
  • Fax:
Mailing address:
  • Phone: 360-734-4404
  • Fax: 360-734-7409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number60293426
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: