Individual
DR. PHILIP PAUL GOODNEY
Active
Individual
DR. PHILIP PAUL GOODNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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