Provider Demographics
NPI:1194998682
Name:GOOBERMAN, LANCE L (MD)
Entity type:Individual
Prefix:DR
First Name:LANCE
Middle Name:L
Last Name:GOOBERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 S CENTRE ST
Mailing Address - Street 2:#201
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2213
Mailing Address - Country:US
Mailing Address - Phone:856-663-4447
Mailing Address - Fax:856-488-6380
Practice Address - Street 1:1 S CENTRE ST
Practice Address - Street 2:#201
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2213
Practice Address - Country:US
Practice Address - Phone:856-663-4447
Practice Address - Fax:856-488-6380
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03819100207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine