Individual
JAMES JEROME GOEDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 UNIVERSITY BLVD E, SILVER SPRING, MD 20903-3711
(301) 431-3773
Mailing address
6120 EXECUTIVE BLVD, ROOM 7068, ROCKVILLE, MD 20852-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0054093
MD
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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