| Dr Robert L Goodman, MD | |
| 
					3400 Civic Center Blvd, Philadelphia, PA 19104-5127  | |
| (215) 662-3147 | |
| Not Available | 
| Full Name | Dr Robert L Goodman | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Therapeutic Radiology | 
| Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1649217779 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 68324 (New Jersey) | Secondary | 
| 2085R0203X | Radiology - Therapeutic Radiology | MD019883E (Pennsylvania) | Primary | 
| Entity Name | Clinical Health Care Associates Of New Jersey Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508019241 PECOS PAC ID: 0749180198 Enrollment ID: O20050725000214  | 
| Entity Name | Sovereign Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710282082 PECOS PAC ID: 1456535392 Enrollment ID: O20110418000519  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Robert L Goodman, MD 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 Ph: (215) 662-3147  | Dr Robert L Goodman, MD 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 Ph: (215) 662-3147  | 
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005  | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389  | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011  | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011  | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562  | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005  | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627  |