Individual
LEE A. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 WEST ST, ANNAPOLIS, MD 21401-2426
(410) 268-3627
(410) 267-6372
Mailing address
79 WEST ST, ANNAPOLIS, MD 21401-2426
(410) 268-3627
(410) 267-6372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0036668
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284791400
—
MD
Enumeration date
05/31/2006
Last updated
03/07/2023
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