Individual
DR. TIMOTHY GOOLDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRICS NEUROSURGERY, PHILADELPHIA, PA 19104
(267) 590-2780
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRICS NEUROSURGERY, PHILADELPHIA, PA 19104
(267) 590-2780
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD476730
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2017
Last updated
06/06/2024
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