Gooch, John Russell

Gooch, John Russell is an individual health care provider with primary practice located at 1500 Lansdowne Ave , Darby PA 19023-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gooch, John Russell can be contacted via phone (610) 237-4000.

Contact Information

Primary practice address
1500 Lansdowne Ave Darby PA 19023-1200
Phone: (610) 237-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 172394 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT212019 Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 82256 Georgia

Profile Details

NPI number 1033569850
LBN Legal business name Gooch, John Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Apr 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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