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Organization

PETER L. GOODMAN, M. D.,INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER L GOODMAN M.D. (PRESIDENT)
(804) 559-0423
Entity
Organization

Contact information

Practice address
8220 MEADOWBRIDGE RD, SUITE 301, MECHANICSVILLE, VA 23116-2336
(804) 559-0423
(804) 559-1260
Mailing address
8220 MEADOWBRIDGE RD, SUITE 301, MECHANICSVILLE, VA 23116-2336
(804) 559-0423
(804) 559-1260

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101019253
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6022057
VA
Enumeration date
10/04/2010
Last updated
10/04/2010
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