Individual
DR. MICHAEL H GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 200, CAMDEN, NJ 08103-1438
(856) 342-2001
(856) 968-2499
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
MA05933700
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MA05933700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA05933700
STATE LICENSE
NJ
Enumeration date
09/29/2006
Last updated
04/23/2019
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