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1629005780
MARK GOODMAN
LONG BEACH, CA
NPI
1629005780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A31080)
Enumeration Date
2006-06-26
Last Update Date
2007-10-12
Business Address
-- MARK GOODMAN MD
3200 LONG BEACH BLVD
LONG BEACH, CA 90807-5062
Phone number: 562-933-2000
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Mailing Address
-- MARK GOODMAN MD
2360 PACIFIC AVE
LONG BEACH, CA 90806-3051
Phone number: 562-981-6856
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