Individual
DEBRA P GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3691 CRESCENT CT E, STE 201, WHITEHALL, PA 18052-3433
(610) 434-9561
(610) 434-5122
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003213L
PA
363A00000X
Physician Assistant
OA000467L
PA
Other
Enumeration date
03/14/2006
Last updated
03/06/2014
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