Individual
DR. BRUCE A. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 NEWTOWN YARDLEY RD, SUITE 420, NEWTOWN, PA 18940-1748
(215) 860-2424
(215) 860-3044
Mailing address
790 NEWTOWN YARDLEY RD, SUITE 420, NEWTOWN, PA 18940-1748
(215) 860-2424
(215) 860-3044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196960
—
PA
Enumeration date
06/22/2005
Last updated
07/08/2007
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