| Peter L. Goodman, M. D.,inc. | |
|
8220 Meadowbridge Rd Suite 301 Mechanicsville VA 23116-2336 | |
| (804) 559-0423 | |
| (804) 559-1260 |
| Full Name | Peter L. Goodman, M. D.,inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8220 Meadowbridge Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Peter L Goodman (PRESIDENT) |
| Authorized Official Contact | 8045590423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter L. Goodman, M. D.,inc. 8220 Meadowbridge Rd Suite 301 Mechanicsville VA 23116-2336 Ph: (804) 559-0423 | Peter L. Goodman, M. D.,inc. 8220 Meadowbridge Rd Suite 301 Mechanicsville VA 23116-2336 Ph: (804) 559-0423 |
| NPI Number | 1023327319 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023327319 | NPI | - | NPPES |
| 6022057 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101019253 (Virginia) | Primary |
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