Goodglick, Todd A
Goodglick, Todd A is an individual health care provider with primary practice located at 5454 Wisconsin Ave Ste 950, Chevy Chase MD 20815-6912. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Goodglick, Todd A can be contacted via phone (301) 654-5114.Contact Information
Primary practice address
5454 Wisconsin Ave Ste 950
Chevy Chase MD 20815-6912
Phone: (301) 654-5114
Fax: (301) 654-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD21176 | District of Columbia |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 0101043516 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101043516 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD21176 | District of Columbia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0037803 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | D0037803 | Maryland |
Profile Details
| NPI number | 1053315036 |
|---|---|
| LBN Legal business name | Goodglick, Todd A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Apr 24th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053315036 | NPPES |
| District of Columbia | MEDICAID | 022589600 | |
| District of Columbia | MEDICAID | 355041900 |
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