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Individual

DR. BEN RICHARD GOODGAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4755 OGLETOWN-STANTON ROAD, AMMON BUILDING, SUITE 2E70, NEWARK, DE 19718-2249
(302) 368-5515
(302) 733-6082
Mailing address
200 HYGEIA DRIVE, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2249
(302) 437-4565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
EI0305
DE
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C1-0008404
DE
207RP1001X
Pulmonary Disease Physician
2015-01376
NC

Other

Enumeration date
04/17/2007
Last updated
04/12/2023
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