Individual
KYLE DAVID GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 LANGHORNE NEWTOWN RD STE 120, LANGHORNE, PA 19047-1211
(267) 364-9100
Mailing address
47 E REVERE AVE, NORTHFIELD, NJ 08225-2435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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