Individual
DR. ELLIOT S. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
19123 AVALON WAY, LAWRENCEVILLE, NJ 08648-1245
(347) 831-0146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB07928500
NJ
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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