Individual
MS. MARIE DARCY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
193 GREEN STREET, ANNAPOLIS, MD 21401
(410) 268-3627
Mailing address
59 AMOS GARRETT BLVD, ANNAPOLIS, MD 21401
(443) 949-7378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0000947
MD
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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