Individual
LEE ANDREW GOEDDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 N WOLFE ST, BALTIMORE, MD 21205-2105
(410) 955-2548
Mailing address
256 S DURHAM ST, BALTIMORE, MD 21231-2605
(314) 307-4117
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D81129
MD
Other
Enumeration date
01/30/2009
Last updated
07/07/2016
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