Individual
DR. SUSANE L GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2480 PENNINGTON RD, SUITE 108, PENNINGTON, NJ 08534-5227
(609) 737-6700
(609) 737-2427
Mailing address
PO BOX 8500-9117, PHILADELPHIA, PA 19178-9117
(609) 815-7810
(609) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA07633100
NJ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
25MA07633100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015091
—
NJ
Enumeration date
05/02/2007
Last updated
04/16/2014
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