Individual
FREDERICK WAYNE GOODING SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 PENNSYLVANIA AVE, STE D, WILMINGTON, DE 19806-4047
(302) 530-1618
(302) 652-1023
Mailing address
PO BOX 4200, GREENVILLE, DE 19807-0200
(302) 530-1618
(302) 652-1023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD18842
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026232900
—
DC
05
—
1000023477
—
DE
Enumeration date
06/21/2006
Last updated
01/09/2012
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