| Doctor Name: | LAURA A GOODE |
| NPI Number: | 1043263486 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APN,C |
| License Number: | 26NO07828400 |
| Business Practice Address: | 30 Prospect Ave Hackensack, NJ - 076011914 |
| Business Phone Number: | 2019965437 |
| Business Fax Number: | 2014571885 |
| Mailing Address: | 156 Oakwood Ave, BOGOTA |
| State: | NJ |
| Postal Code: | 076031722 |
| Phone Number: | 2019965437 |
| Fax Number: | 2014571885 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NO07828400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |