Lance L Gooberman in Merchantville - Addiction Medicine

Lance L Gooberman - NPI 1194998682

Lance L Gooberman is a Addiction Medicine in Merchantville, New Jersey. Lance L Gooberman practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Lance L Gooberman is 1194998682. The last update date is 2008-04-07.

Lance L Gooberman's current location address is 1 S Centre St, Merchantville, New Jersey. You can contact this provider via phone number 8566634447 and fax number 8564886380. The mailing address for Lance L Gooberman is 1 S Centre St, Merchantville, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Lance L Gooberman
Address 1 S Centre St, Merchantville, New Jersey
Phone Number 8566634447
Fax Number 8564886380
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194998682
Provider Enumeration Date 2008-04-07
Last Updated Date 2008-04-07

Provider Mailing Address Detail

Address 1 S Centre St
City Merchantville
State New Jersey (NJ)
Post Code 81092213
Phone Number 8566634447
Fax Number 8564886380

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Ra0401X
Licence No 25MA03819100
Definition:
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification

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FAQs about Lance L Gooberman

What is the unique identifier code issued to Lance L Gooberman by the Centers for Medicare & Medicaid Services (CMS)?

The Lance L Gooberman has been assigned the NPI (National Provider Identifier) 1194998682. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Lance L Gooberman is located?

The Lance L Gooberman is situated at the following address: 1 S Centre St, Merchantville, NJ, 81092213.

What is Lance L Gooberman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lance L Gooberman is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Ra0401X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194998682 to Lance L Gooberman?

The Centers for Medicare & Medicaid Services assigned the 1194998682 to Lance L Gooberman on 2008-04-07.

When was the information regarding Lance L Gooberman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lance L Gooberman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-07.

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