Individual
DR. JAMES PETER GOETZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
136458-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010902030
FIDELIS
NY
01
—
000526031001
INDEPENDENT HEALTH
NY
05
—
00464397
—
NY
01
—
100842DL
PREFERRED CARE
NY
01
—
5651454
AETNA HMO/PPO/POS
NY
01
—
9681866
MVP SELECT CARE
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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