Jay S Goodman
Internist - Allergy & Immunology
301 Saint Paul Pl Suite 300-T Department Of Medicine
Baltimore
, Maryland 21202-2102
Jay S Goodman
Internist - Allergy & Immunology
301 Saint Paul Pl Suite 300-T Department Of Medicine
Baltimore
, Maryland 21202-2102
(410) 962-8391
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Jay S Goodman
- 301 Saint Paul Pl Suite 300-T Department Of Medicine
- Baltimore, MD
- Zip : 21202-2102
- Fax : (410) 962-8391
- Phone : (410) 332-9692
Second Address
- Jay S Goodman
- 301 Saint Paul Pl Suite 300-T Department Of Medicine
- Baltimore, MD
- Zip : 21202-2102
- Fax : (410) 962-8391
- Phone : (410) 332-9692
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | D02153 | MD |
National Provider Identifier
| NPI | 1861490492 |
|---|---|
| Provider Name | Jay S Goodman |
| First Address | Baltimore, MD 21202-2102 |
| Second Address | Baltimore, MD 21202-2102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D76237 | (02) | MD |
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.