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NPI Code Detail

MEDICARE: ELIZABETH MARIE GOSCINIAK M.D.

MEDICARE:   ELIZABETH MARIE GOSCINIAK  M.D.
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
1207R00000XInternal Medicine Physician336039LA
2208000000XPediatrics Physician336039LA

General Provider Information

NPI Number : 1114381746
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARIE GOSCINIAK M.D.
Provider Business Mailing Address
First Line : 110 S PACA ST # 8-153
Second Line :
City : BALTIMORE
State : MD
Zip : 21201-1642
Country : US
Telephone Number : 410-328-2625
Fax Number : 410-328-2088
Provider Business Practice Location Address
First Line : 1532 ALLEN TOUSSAINT BLVD
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70122-2146
Country : US
Telephone Number : 504-846-9646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2016
Last Update Date : 10/19/2023

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