Individual
DR. DENISE RENEE GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7503 GREENWAY CENTER DR, GREENBELT, MD 20770-3508
(301) 446-3540
(301) 446-3543
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0063896
MD
208D00000X
General Practice Physician
D0063896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004
CAREFIRST BCBS
DC
01
—
0009
CAREFIRST BCBS
DC
01
—
01380038
AMERIGROUP
MD
01
—
01454904
AMERIGROUP (OMB)
MD
05
—
057897600
—
DC
05
—
145440YYP
—
MD
01
—
3113508
CIGNA
MD
01
—
31430
CHARTERED HEALTH PLAN
MD
05
—
409824200
—
MD
01
—
4348867
AETNA - NWB
MD
01
—
61736101
CAREFIRST BCBS
MD
01
—
881027-01
CAREFIRST BCBS
MD
01
—
P00865911
RAILROAD MEDICARE
MD
Enumeration date
09/20/2006
Last updated
07/27/2017
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