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NPI Code Detail

MEDICARE: MR. HAROLD DAVID GOODMAN DO

MEDICARE: MR. HAROLD DAVID GOODMAN DO
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
1208100000XPhysical Medicine & Rehabilitation PhysicianH0040143MD
2208100000XPhysical Medicine & Rehabilitation PhysicianD020363OR

General Provider Information

NPI Number : 1366872749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAROLD DAVID GOODMAN DO
Provider Business Mailing Address
First Line : 8609 SECOND AVENUE
Second Line : SUITE 405 B
City : SILVER SPRING
State : MD
Zip : 20910-3374
Country : US
Telephone Number : 301-565-2494
Fax Number : 301-565-2494
Provider Business Practice Location Address
First Line : 8609 SECOND AVENUE
Second Line : SUITE 405 B
City : SILVER SPRING
State : MD
Zip : 20910-3374
Country : US
Telephone Number : 301-565-2494
Fax Number : 301-565-2494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2013
Last Update Date : 11/20/2013

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Directions to “ MR. HAROLD DAVID GOODMAN DO” Practice Location

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