Provider Demographics
NPI:1871230060
Name:GOFF, JOSEE-MARIE ELIZABETH JOAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:JOSEE-MARIE
Middle Name:ELIZABETH JOAN
Last Name:GOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:JOSEE-MARIE
Other - Middle Name:ELIZABETH JOAN
Other - Last Name:MELANSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 N. ACADEMY AVENUE PEDIATRIC RESIDENCY PROGRAM GEISI
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-2701
Mailing Address - Country:US
Mailing Address - Phone:570-271-5606
Mailing Address - Fax:
Practice Address - Street 1:100 N. ACADEMY AVENUE PEDIATRIC RESIDENCY PROGRAM GEISI
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-2701
Practice Address - Country:US
Practice Address - Phone:570-271-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2023-02-16
Deactivation Date:2023-02-16
Deactivation Code:
Reactivation Date:2023-02-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program