Individual
MR. CHARLES PHILIP GOODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 ROCKVILLE PIKE STE 145, ROCKVILLE, MD 20852-1631
(240) 221-0333
Mailing address
PO BOX 4884, WASHINGTON, DC 20008-0084
(202) 291-4581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004003-1
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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