MEDICARE: DR. STEPHANIE L GOFF 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
1	208600000X	Surgery Physician	60238062	NY

General Provider Information

NPI Number	:	1568606473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE L GOFF M.D.

Provider Business Mailing Address
First Line	:	4808 MOORLAND LN APT 1011
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-6141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 CENTER DR STE 3W-5930
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20892-1201
Country	:	US
Telephone Number	:	240-760-6214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	04/30/2026

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