Provider Demographics
NPI:1396766101
Name:GOYCO, EMELINA J (MD)
Entity type:Individual
Prefix:MRS
First Name:EMELINA
Middle Name:J
Last Name:GOYCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HENLEY AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07646
Mailing Address - Country:US
Mailing Address - Phone:201-262-9229
Mailing Address - Fax:201-262-9288
Practice Address - Street 1:140 HENLEY AVENUE
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646
Practice Address - Country:US
Practice Address - Phone:201-262-9229
Practice Address - Fax:201-262-9288
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA41406208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics