Individual
MICHAEL GOODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1088 W BALTIMORE PIKE, SUITE 2400, MEDIA, PA 19063-5146
(610) 565-2100
(610) 892-0626
Mailing address
207 N BROAD ST, 3RD FLR., PHILADELPHIA, PA 19107-1500
(215) 462-7100
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019064E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000639124
—
PA
Enumeration date
02/13/2006
Last updated
08/15/2011
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