Individual
KEITH GOFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 203-3000
Mailing address
6647 WAYNE AVE, PHILADELPHIA, PA 19119-3519
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD036649L
PA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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