Individual
DR. JOHN RUSSELL GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4000
Mailing address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
172394
CA
207P00000X
Emergency Medicine Physician
Primary
82256
GA
390200000X
Student in an Organized Health Care Education/Training Program
MT212019
PA
Other
Enumeration date
06/14/2016
Last updated
04/21/2021
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