Individual
MICHAEL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18111 PRINCE PHILIP DR, STE 323, OLNEY, MD 20832-1513
(301) 774-2600
(301) 774-2823
Mailing address
18111 PRINCE PHILIP DR, STE 323, OLNEY, MD 20832-1513
(301) 774-2600
(301) 774-2823
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0032258
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01190004
BC DC/METRO
DC
01
—
231381
UNITED HEALTHCARE (S)
MD
01
—
41436701
BC MD
MD
05
—
477821900
—
MD
Enumeration date
03/29/2006
Last updated
02/29/2012
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