Individual
GWEN LORI GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 BARRISTER LN, MANALAPAN, NJ 07726-3285
(732) 409-0693
(732) 845-1099
Mailing address
8 BARRISTER LN, MANALAPAN, NJ 07726-3285
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
03/17/2018
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