Individual
DR. CHARLES FREDRICK GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15256 BELLECOURT, SARATOGA, CA 95070-6407
(408) 395-0818
(801) 315-8383
Mailing address
15256 BELLECOURT, SARATOGA, CA 95070-6407
(408) 395-0818
(801) 315-8383
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G27751
CA
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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