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DR. ANITA KAUR GOODRICH M.D,
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1801150057
Individual Registrant:DR. ANITA KAUR GOODRICH M.D,
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4080 STATE ROUTE 28 BOICEVILLE, NY 12412 US
Tel: 845-657-7820 Fax: 845-657-7834
Tel: 845-657-7820 Fax: 845-657-7834
Contact information for business:
4080 STATE ROUTE 28 BOICEVILLE, NY 12412-5128 US
Tel: 845-657-7820 Fax: --
Tel: 845-657-7820 Fax: --
Registration Information:
NPI: 1801150057
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | NJ | 25MA09695400 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | NY | 291297 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
