Organization Name: | FREDERICK W. GOODING, M.D. & ASSOCIATES, P.C. |
NPI Number: | 1326230830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK WAYNE GOODING (CEO/DOCTOR) |
Mailing Address: | 1160 Varnum St Ne Suite 202 Washington |
State: | DC US |
Postal Code: | 200172107 |
Phone Number: | 2022691495 |
Fax Number: | 2022691039 |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C1-0004773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |