Individual
DR. JEFFREY ALEXANDER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
661 SHUNPIKE RD, SUITE #1, GREEN VILLAGE, NJ 07935-3022
(973) 377-8811
(973) 377-8847
Mailing address
661 SHUNPIKE RD, SUITE #1, GREEN VILLAGE, NJ 07935-3022
(973) 377-8811
(973) 377-8847
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI01348500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI01348500
LICENSE REGISTRATION CERT
NJ
Enumeration date
11/23/2006
Last updated
07/08/2007
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