Individual
JUVENAL RODOLFO GOICOCHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8218 WISCONSIN AVE, SUITE 212, BETHESDA, MD 20814-3107
(301) 657-9445
(301) 718-8626
Mailing address
PO BOX 59350, POTOMAC, MD 20859-9350
(301) 657-9445
(301) 718-8626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D002450
MD
208600000X
Surgery Physician
MD12034
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29260
MDM 61
—
01
—
35460001
CAREFIRST DC
—
01
—
3787
CAREFIRST MD
—
Enumeration date
08/31/2005
Last updated
07/01/2010
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