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Individual

DR. RICHARD PAUL GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 735-1529
(513) 686-5620
Mailing address
4777 E GALBRAITH RD, CINCINNATI, OH 45236-2725
(513) 735-1529
(513) 686-5620

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OH3580067
OH
207RI0200X
Infectious Disease Physician
Primary
OH3580067
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013066281
NPI GROUP
OH
05
2292086
OH
01
IN9310411
MEDICARE GROUP
OH
Enumeration date
04/20/2006
Last updated
09/24/2014
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