Provider Demographics
NPI:1952460297
Name:GOODMAN, DANIEL N (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:N
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HILLHOLM ROAD
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M5P1M2
Mailing Address - Country:CA
Mailing Address - Phone:905-426-8976
Mailing Address - Fax:
Practice Address - Street 1:CML HEALTHCARE
Practice Address - Street 2:300 HARWOOD AVE, S
Practice Address - City:AJAX
Practice Address - State:ON
Practice Address - Zip Code:L1S2J1
Practice Address - Country:CA
Practice Address - Phone:905-426-8976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2041692085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology