Individual
FAREEDAH Z GOODWIN-CAPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 NILES CORTLAND RD NE, STE 7, WARREN, OH 44484-1077
(330) 856-7702
(330) 856-1096
Mailing address
1950 NILES CORTLAND RD NE, STE 7, WARREN, OH 44484-1077
(330) 856-7702
(330) 856-1096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35085291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2597935
—
OH
01
—
H318260
MEDICARE PTAN
OH
Enumeration date
01/10/2006
Last updated
10/25/2016
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