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Jack R Goodman, MD
Urology Physician in New Orleans, Louisiana
NPI 1922110105

Jack R Goodman is a Urology Physician based in New Orleans, LA. Jack R Goodman practices in New Orleans, LA and has the professional credentials of MD. The NPI Number for Jack R Goodman is 1922110105 and holds a License No. 010553 (Louisiana).

The current practice location address for Jack R Goodman is 200 Henry Clay Ave, New Orleans, LA and can be reached out via phone at 504-894-9432 and via fax at 504-896-9432.

Location: 200 Henry Clay Ave, New Orleans, LA, 70118-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922110105
Provider Name
Jack R Goodman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Henry Clay Ave, New Orleans, LA, 70118-5720
Phone Number
504-894-9432
Fax Number
504-896-9432
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1133922 05 LA
institution
Provider Business Practice Location Address Details
Address
200 Henry Clay Ave
City
New Orleans
State
Louisiana
Zip
70118-5720
Phone Number
504-894-9432
Fax Number
504-896-9432
person
Provider Business Mailing Address Details
Address
200 Henry Clay Ave
City
New Orleans
State
Louisiana
Zip
70118-5720
Phone Number
504-894-9432
Fax Number
504-896-9432
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
010553 (Louisiana)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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