Search › Pennsylvania › 2255A2300X
Brandon Goodlavage
NPI 1417439779 · on the registry since 2018
Practice
- Address
- 133 N River St
Wilkes Barre, PA 18711 - Phone
- (570) 208-5900
- Organisation at this address
- King'S College
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 63
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
2255A2300X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania