| Howard I Goldman, Md Llc | |
|
9106 Philadelphia Rd Suite 304 Rosedale MD 21237-4329 | |
| (410) 238-3262 | |
| (410) 238-3265 |
| Full Name | Howard I Goldman, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9106 Philadelphia Rd, Rosedale, Maryland |
| Authorized Official Name and Position | Jessica A Edmondson (BILLER/ CREDENTIALS) |
| Authorized Official Contact | 4108797999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard I Goldman, Md Llc 9106 Philadelphia Rd Suite 304 Rosedale MD 21237-4329 Ph: (410) 238-3262 | Howard I Goldman, Md Llc 9106 Philadelphia Rd Suite 304 Rosedale MD 21237-4329 Ph: (410) 238-3262 |
| NPI Number | 1801073754 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 01/23/2008 |
| Medicare PECOS PAC ID | 9931157286 |
|---|---|
| Medicare Enrollment ID | O20050104000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801073754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0038048 (Maryland) | Primary |
| Provider Name | Tammi D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033225909 PECOS PAC ID: 7113066762 Enrollment ID: I20091120000354 |
| Provider Name | Howard I Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528068251 PECOS PAC ID: 5294783544 Enrollment ID: I20100928001075 |
| Provider Name | Christine C Grap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609425453 PECOS PAC ID: 2264867647 Enrollment ID: I20200113000731 |
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