Provider Demographics
NPI:1285721290
Name:GOY, RICHARD FRANK (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:FRANK
Last Name:GOY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 APPLE TREE LN E
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-5206
Mailing Address - Country:US
Mailing Address - Phone:610-402-9266
Mailing Address - Fax:610-402-9293
Practice Address - Street 1:1243 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6268
Practice Address - Country:US
Practice Address - Phone:610-402-9200
Practice Address - Fax:610-402-9293
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066980L207R00000X, 2083X0100X
MA60214207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1722065Medicaid
J09536Medicare ID - Type Unspecified
PA1722065Medicaid