- Practice location
- 875 Aaa Blvd Ste C, Newark, DE 19713-3624
- Phone
- 302-918-6400
- Fax
- —
- Last updated
- November 22, 2019
Madison E Goudy is a Physician Assistant, Medical based in Newark, DE. Madison E Goudy practices in Newark, DE and has the professional credentials of PA-C, MSPAS. The NPI Number for Madison E Goudy is 1295371458 and holds a License No. C5-0001372 (DE). The current practice location address for Madison E Goudy is 875 Aaa Blvd Ste C, Newark, DE 19713-3624 and can be reached out via phone at 302-918-6400.
Provider Profile Details
- NPI Number
- 1295371458
- Provider Name
- Madison E Goudy
- Credential
- PA-C, MSPAS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 875 Aaa Blvd Ste C, Newark, DE 19713-3624
- Phone Number
- 302-918-6400
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 22, 2019
- Last Update Date
- November 22, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 875 Aaa Blvd Ste C
Newark, DE 19713-3624 - City
- Newark
- State
- Delaware
- Zip
- 19713-3624
- Phone Number
- 302-918-6400
Provider Business Mailing Address Details
- Address
- 8 Wilton Way
Sicklerville, NJ 08081-9212 - City
- Sicklerville
- State
- NJ
- Zip
- 08081-9212
- Phone Number
- 610-741-4259
License Information
- License Number
- C5-0001372
- License State
- DE
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Madison E Goudy, PA-C, MSPAS?
The NPI number of Madison E Goudy, PA-C, MSPAS is 1295371458. It was assigned on November 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Madison E Goudy, PA-C, MSPAS?
Madison E Goudy, PA-C, MSPAS is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in DE under license number C5-0001372.
Where does Madison E Goudy, PA-C, MSPAS practice?
The practice location is 875 Aaa Blvd Ste C, Newark, DE 19713-3624. The office can be reached at 302-918-6400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295371458 directly on the NPPES registry website.