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Individual
ROBERT L GOOD
Active
Individual
ROBERT L GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036150E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000512226
BLUE SHIELD
—
01
—
50073068
BLUE CROSS
—
01
—
5640051
AETNA
—
01
—
P006111
GATEWAY
—
Enumeration date
06/16/2006
Last updated
05/27/2015
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