Individual
MR. SAMIR GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4 CORKERY LN, WILLIAMSTOWN, NJ 08094-8825
(856) 361-6602
Mailing address
4 CORKERY LN, WILLIAMSTOWN, NJ 08094-8825
(856) 361-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01324600
NJ
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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