MEDICARE: HUDSON JABOUR GOLDMANN & MUSCHKIN PALM BEACH OB-GYN ASSOCIATES P A

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1942377692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON JABOUR GOLDMANN & MUSCHKIN PALM BEACH OB-GYN ASSOCIATES P A

Provider Business Mailing Address
First Line	:	PO BOX 31565
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-1565
Country	:	US
Telephone Number	:	561-799-6216
Fax Number	:	561-799-6217

Provider Business Practice Location Address
First Line	:	114 ISLE DR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4597
Country	:	US
Telephone Number	:	561-799-6216
Fax Number	:	561-799-6217

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD S GOLDMANN
Credential	:	M.D,
Telephone Number	:	561-799-6216

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	03/02/2009

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