Goode, Dale Norman
Goode, Dale Norman is an sole proprietor health care provider with primary practice located at 630 Mantua Pike , Woodbury NJ 08096-3233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goode, Dale Norman can be contacted via phone (856) 812-2220.Contact Information
Primary practice address
630 Mantua Pike
Woodbury NJ 08096-3233
Phone: (856) 812-2220
Fax: (856) 812-2221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MA037601 | New Jersey |
Profile Details
| NPI number | 1891737722 |
|---|---|
| LBN Legal business name | Goode, Dale Norman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 4th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891737722 | NPPES |
| New Jersey | MEDICAID | 3775607 |
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