Dr Clare Goggins, MD | |
525 Jamestown St Ste 206, Philadelphia, PA 19128-1751 | |
(215) 482-7546 | |
Not Available |
Full Name | Dr Clare Goggins |
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Gender | Female |
Speciality | Dermatology |
Location | 525 Jamestown St Ste 206, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043770183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD481227 (Pennsylvania) | Primary |
Entity Name | Advanced Dermatology Of Pennsylvania, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740671767 PECOS PAC ID: 5799091690 Enrollment ID: O20150908001216 |
Mailing Address | Practice Location Address |
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Dr Clare Goggins, MD 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 Ph: () - | Dr Clare Goggins, MD 525 Jamestown St Ste 206, Philadelphia, PA 19128-1751 Ph: (215) 482-7546 |
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