Individual
DR. STUART JACK GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-6389
(301) 797-4119
Mailing address
17 WESTERN MARYLAND PKWY, SUITE 100, HAGERSTOWN, MD 21740-5471
(301) 797-6389
(301) 797-4119
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D27445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255881
JOHNS HOPKINS US FAMILY HEALTH/EHP
MD
01
—
4051977
AETNA
MD
01
—
522101237
TRISTATE HEALTH PARTNERS
MD
01
—
7419424
CIGNA
MD
05
—
798681500
—
MD
01
—
P01332730
RAILROAD MEDICARE
MD
01
—
W2660036
CAREFIRST
MD
Enumeration date
07/05/2005
Last updated
07/01/2015
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