Dr. Judith Ann Gouldin
Nuclear Medicine Specialist
777 Rural Ave
Williamsport
, Pennsylvania 17701-3109
Dr. Judith Ann Gouldin
Nuclear Medicine Specialist
777 Rural Ave
Williamsport
, Pennsylvania 17701-3109
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Judith Ann Gouldin
- 1201 Grampian Blvd Po Box 3127
- Williamsport, PA
- Zip : 17701-1900
- Phone :
Second Address
- Dr. Judith Ann Gouldin
- 777 Rural Ave
- Williamsport, PA
- Zip : 17701-3109
- Fax : (570) 321-2496
- Phone : (570) 321-2400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | MD019724E | PA |
National Provider Identifier
| NPI | 1356318356 |
|---|---|
| Provider Name | Dr. Judith Ann Gouldin |
| First Address | Williamsport, PA 17701-1900 |
| Second Address | Williamsport, PA 17701-3109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 30/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0007802700001 | (05) | PA |
| 073898 | HIGHMARK BLUE SHIELD (01) | PA |
| 078201 | FIRST PRIORITY HEALTH (01) | PA |
| 1553604 | UNITEDHEALTHCARE (01) | PA |
| 4501 | HEALTHAMERICA (01) | PA |
| 561809 | AETNA (01) | PA |
| 816713 | FIRST PRIORITY HEALTH (01) | PA |
| B35011 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.