Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUSTIN BLAKE GOODMAN, RD, LDN
ActiveMR. JUSTIN BLAKE GOODMAN, RD, LDN is a Registered Dietitian healthcare provider located in TIMONIUM, Maryland. NPI 1962157503 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · TIMONIUM, MD
Registration Details
- NPI Number
- 1962157503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2022 (4.4818960622941 yrs)
- Last Updated
- Aug 11, 2023
Practice Information
- Address
-
1301 YORK RD STE 800TIMONIUM, MD, 210936011Browse MD providers · Browse ZIP 21093
- Phone
- 4106860459
- Fax
- 4252423401
- Primary Specialty
-
Registered Dietitian
133V00000X
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.