Individual
JOHN J GOODILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220, NEWARK, DE 19713-2067
(302) 368-5515
(302) 366-1240
Mailing address
4745 OGLETOWN STANTON RD, MAP 1, SUITE 220, NEWARK, DE 19713-2067
(302) 368-5515
(302) 366-1240
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C10002306
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091432000
AMERIHEALTH/KEYSTONE
—
01
—
1246147002
CIGNA
—
01
—
192954
INDEPENDENCE BCBS
—
01
—
4198262
AETNA/USHC
—
01
—
42626401
CARE FIRST BCBS
MD
01
—
43869
COVENTRY
—
01
—
611871
MAMSI
—
Enumeration date
05/10/2006
Last updated
04/03/2008
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