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DR. ANITA KAUR GOODRICH M.D,

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1801150057

Individual Registrant:
DR. ANITA KAUR GOODRICH M.D,
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

Contact information for business:
4080 STATE ROUTE 28  BOICEVILLE, NY 12412-5128 US
Tel: 845-657-7820  Fax: --

Registration Information:
NPI: 1801150057
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NJ25MA09695400
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NY291297

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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