JEFFREY MARK GOODMAN

PHILADELPHIA, PA
NPI1033370259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  DI02399000)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-06-19
Last Update Date2010-02-04
Business Address
Dr. JEFFREY MARK GOODMAN
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7104
Mailing Address
Dr. JEFFREY MARK GOODMAN
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7104