Mr. Justin Blake Goodman, RD, LDN
Mr. Justin Blake Goodman, RD, LDN is a Registered Dietitian OR Nutrition Professional in Timonium, Maryland. Qualified in 2018, 8 years ago. Licensed in Maryland.
- Years since qualifying
- 8
- Licensed in
- MD
- In the registry since
- 2022
What do these letters mean?
Practice location Address checks out
1301 York Rd Ste 800Timonium, MD 21093-6011
Phone: (410) 686-0459
Fax: (425) 242-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X (MD) |
|---|
Record details
| NPI number | 1962157503 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RD , LDN |
| Sole proprietor | No |
| NPI enumerated | February 12, 2022 |
| Last updated in NPPES | August 11, 2023 |
| Certification date | August 11, 2023 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Timonium
-
Gro LLC
1301 York Rd Ste 800, Timonium, MD 21093-6011 · (410) 686-0459
-
Nutrition Connection, LLC
1734 York Rd, Timonium, MD 21093-5606 · (410) 252-2273
-
Synergy Medical Group
1205 York Rd Ste 11, Timonium, MD 21093-6211 · (443) 325-0031