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Individual
DR. JEFFREY ALEXANDER GOODMAN
Active
Individual
DR. JEFFREY ALEXANDER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI01348500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI01348500
LICENSE REGISTRATION CERT
NJ
Enumeration date
11/23/2006
Last updated
07/08/2007
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