Sean Michael Goudsward in Hammonton - Family Medicine
Sean Michael Goudsward - NPI 1114972999
Sean Michael Goudsward is a Family Medicine in Hammonton, New Jersey. Sean Michael Goudsward practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sean Michael Goudsward is 1114972999. The last update date is 2022-07-21.
Sean Michael Goudsward's current location address is 187 S Route 73 Ste B, Hammonton, New Jersey. You can contact this provider via phone number 6095672101 and fax number 6097049351. The mailing address for Sean Michael Goudsward is 187 S Route 73 Ste B, Hammonton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Michael Goudsward |
|---|---|
| Address | 187 S Route 73 Ste B, Hammonton, New Jersey |
| Phone Number | 6095672101 |
| Fax Number | 6097049351 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1114972999 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 187 S Route 73 Ste B |
|---|---|
| City | Hammonton |
| State | New Jersey (NJ) |
| Post Code | 80379432 |
| Phone Number | 6095672101 |
| Fax Number | 6097049351 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25MB05566900 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 455091 | NJ | MEDICAID GROUP | |
| 381020 | NJ | MEDICARE GROUP | |
| 5281601 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sean Michael Goudsward by the Centers for Medicare & Medicaid Services?
The Sean Michael Goudsward has been assigned the NPI (National Provider Identifier) 1114972999 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Sean Michael Goudsward?
The Sean Michael Goudsward is physically situated at 187 S Route 73 Ste B, in the city of Hammonton, state of NJ, with the postal code 80379432.
What is Sean Michael Goudsward's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sean Michael Goudsward's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114972999 to Sean Michael Goudsward?
The Sean Michael Goudsward received its 1114972999 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information pertaining to Sean Michael Goudsward most recently updated or revised?
The details related to Sean Michael Goudsward, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.