Individual
JUDY T. GOFFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7211 BANK CT, FREDERICK, MD 21703-8483
(240) 566-7830
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(301) 714-4041
(301) 714-4351
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
D02101
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0981-0121
CERT DIABETES ED
MD
01
—
1145132
AETNA PVN
—
01
—
2431444
UNITED
—
01
—
611736-01
CAREFIRST BCBS OF MARYLAN
—
01
—
F278-0003
CAREFIRST BCBS GHMSI
—
Enumeration date
08/29/2005
Last updated
06/25/2019
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