Individual
JAY S GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 SAINT PAUL PL, SUITE 300-T DEPARTMENT OF MEDICINE, BALTIMORE, MD 21202-2102
(410) 332-9692
(410) 962-8391
Mailing address
301 SAINT PAUL PL, SUITE 300-T DEPARTMENT OF MEDICINE, BALTIMORE, MD 21202-2102
(410) 332-9692
(410) 962-8391
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D02153
MD
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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