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Organization

TODD ALAN GOODGLICK, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD GOODGLICK MD (PRESIDENT)
(202) 412-9895
Entity
Organization

Contact information

Practice address
5530 WISCONSIN AVE STE 1209, CHEVY CHASE, MD 20815-4301
(202) 412-9895
Mailing address
3037 ORDWAY ST NW, WASHINGTON, DC 20008-3255

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
207WX0109X
Neuro-ophthalmology Physician
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary

Other

Enumeration date
10/19/2022
Last updated
01/19/2023
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