Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TODD A GOODGLICK, MD

Active

MR. TODD A GOODGLICK, MD is a 207WX0109X healthcare provider located in CHEVY CHASE, Maryland. NPI 1053315036 is currently active in the NPPES registry. Verify at CMS.

207WX0109X · CHEVY CHASE, MD

Registration Details

NPI Number: 1053315036
Provider Type: Individual
Gender: Male
NPI Issued: Jun 8, 2005 (21.214533356877 yrs)
Last Updated: Oct 16, 2024
Licenses: 0101043516 (VA)

MD21176 (DC)

0101043516 (VA)

D0037803 (MD)

MD21176 (DC)

Practice Information

Address: 5530 WISCONSIN AVE STE 1209

CHEVY CHASE, MD, 208154301
Browse MD providers · Browse ZIP 20815
Phone: 3018416595
Fax: 3017979454
Primary Specialty: 207WX0109X
207WX0109X
Additional Specialty: 207WX0109X
Additional Specialty: 207WX0109X
Additional Specialty: 207WX0200X
Additional Specialty: 207WX0200X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.