Individual
BENJAMIN MITCHELL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 445, NORFOLK, VA 23507-1914
(757) 446-8920
(757) 446-5242
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8920
(757) 446-5242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234707
VA
208M00000X
Hospitalist Physician
0101234707
VA
Other
Enumeration date
02/17/2006
Last updated
07/22/2019
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