Goodglick, Todd A
Goodglick, Todd A is an individual health care provider with primary practice located at 5530 Wisconsin Ave Ste 1209 , Chevy Chase MD 20815-4301. 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) 841-6595.Contact Information
Primary practice address
5530 Wisconsin Ave Ste 1209
Chevy Chase MD 20815-4301
Phone: (301) 841-6595
Fax: (301) 797-9454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 0101043516 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | D0037803 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | MD21176 | District of Columbia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101043516 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD21176 | District of Columbia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 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 | Oct 16th, 2024 - about 2 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 |
| Maryland | MEDICAID | 355041900 | |
| Maryland | MEDICAID | 022589600 |
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