Individual
DR. JAMES L GOLDYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3432-169TH STR, HAMMOND, IN 46323-2542
(219) 844-9060
(219) 844-6912
Mailing address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 844-9060
(219) 844-6912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01024860
IN
208000000X
Pediatrics Physician
Primary
01024860A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100169810A
—
IN
Enumeration date
11/04/2005
Last updated
11/09/2011
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