Individual
DR. GREGORY JOHN GOODWORTH
Active
Individual
DR. GREGORY JOHN GOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08081700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00332777
RAILROAD MEDICARE
—
05
—
0105287
—
NJ
01
—
11619019
CAQH
—
01
—
1281304
AETNA
—
01
—
1396272
UNITED HEALTHCARE
—
01
—
272755000
AMERIHEALTH
—
01
—
60025194
HORIZON NJ HEALTH
—
01
—
A3738029
OXFORD HEALTH
—
01
—
GO1869628
HIGHMARK PA BLUE SHIELD
—
Enumeration date
05/06/2006
Last updated
05/24/2012
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