Individual
DR. MARY ELIZABETH GOOLSBY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(301) 295-2520
Mailing address
9803 GABLE RIDGE TER, APT. B, ROCKVILLE, MD 20850-4667
(301) 512-1922
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
46074-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46074-20
CREDENTIAL/LICENSE
WI
Enumeration date
02/28/2006
Last updated
07/08/2007
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