# NEIL E. GOODMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538448402
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 034143 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 034143 | GA | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 139707 | FL | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 269918 | NY | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 82230 | SC | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 02/26/2023
