Organization
PAUL M GOODMAN MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M GOODMAN M.D. (PRESIDENT)
(619) 294-2350
Entity
Organization
Contact information
Practice address
4033 3RD AVE, SUITE 104, SAN DIEGO, CA 92103-2117
(619) 294-2351
(619) 296-5719
Mailing address
4033 3RD AVE, SUITE 104, SAN DIEGO, CA 92103-2117
(619) 294-2351
(619) 296-5719
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G24856
CA
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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