Individual
JAN GOEDEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS HOSPITAL DR, 4401 PENN AVENUE, PITTSBURGH, PA 15224-1529
(412) 692-7291
Mailing address
200 LOTHROP ST, FORBES TOWER STE 9055, PITTSBURGH, PA 15213-2536
(412) 647-3087
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
LT000725
PA
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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