Individual
DR. MICHAEL REID GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
47 NEW SCOTLAND AVE, DIVISION OF NEUROSURGERY, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD460679
PA
390200000X
Student in an Organized Health Care Education/Training Program
62952
NY
Other
Enumeration date
04/27/2010
Last updated
07/20/2017
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