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1730122409
BRUCE GOODMAN
FORESTVILLE, MD
NPI
1730122409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MD TA0653)
Enumeration Date
2006-06-13
Last Update Date
2018-01-30
Business Address
BRUCE GOODMAN OD
3309 FORESTVILLE PL
FORESTVILLE, MD 20747-4409
Phone number: 301-420-6610
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Mailing Address
BRUCE GOODMAN OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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