Gooding, Susane L

Gooding, Susane L is an individual health care provider with primary practice located at 2480 Pennington Rd Suite 108, Pennington NJ 08534-5227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is her primary health care specialty. Gooding, Susane L can be contacted via phone (609) 737-6700.

Contact Information

Primary practice address
2480 Pennington Rd Suite 108 Pennington NJ 08534-5227
Phone: (609) 737-6700
Fax: (609) 737-2427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA07633100 New Jersey
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 25MA07633100 New Jersey

Profile Details

NPI number 1902028897
LBN Legal business name Gooding, Susane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Apr 16th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902028897 NPPES
New Jersey MEDICAID 0015091

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