Jay Goodman
Radiology, Vascular & Interventional Radiology in Lewisberry, PA. Individual provider (NPI-1).
NPI number1326034026
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1326034026
- Entity type
- Individual (NPI-1)
- Name
- Jay Goodman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2005
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | MD064904L | PA | Yes |
Practice location
629d Lowther RdSuite 3950
Lewisberry, PA 17339-9527
Phone 717-932-5200
Mailing address
629d Lowther RdSuite 3950
Lewisberry, PA 17339-9527
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