Provider Demographics
NPI:1235232513
Name:GOODMAN, AIMEE REBECCA (DO)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:REBECCA
Last Name:GOODMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:881 OAKLEY DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-8240
Mailing Address - Country:US
Mailing Address - Phone:732-841-2494
Mailing Address - Fax:732-780-3606
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-448-7300
Practice Address - Fax:609-448-8022
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07997700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics