Individual
DR. BENJAMIN H PARKER-GOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-8420
(215) 503-0429
Mailing address
1711 GREEN ST APT K, PHILADELPHIA, PA 19130-4303
(917) 453-1902
(215) 503-6116
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
MD480662
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
04/29/2024
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