Individual
DR. PHILIP PAUL GOODNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8191
(603) 650-4973
Mailing address
1 MEDICAL CENTER DR, DHMC SECTION OF VASCULAR SURGERY, LEBANON, NH 03756-1000
(603) 650-8193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11193
NH
2086S0129X
Vascular Surgery Physician
Primary
11193
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014962
—
VT
05
—
30207726
—
NH
Enumeration date
09/14/2006
Last updated
08/01/2011
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