Theodore Goodman Md

NPI 1053397836 - Pediatrics - 208000000X

NPI Details
NPI 1053397836
Enumeration Date 12/22/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THEODORE THEODORE
Position PRESIDENT
Phone (781) 828-3019
Fax
Practice Location
800 WASHINGTON ST
CANTON MA, 02021-2562, US
Phone (781) 828-3019
Fax
Business Location
PO BOX 9132
BROOKLINE MA, 02446-9132, US
Phone (800) 927-0002
Fax
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Theodore Goodman Md NPI is 1053397836, taxonomy code is 208000000X Theodore Goodman Md physically located at 800 Washington St, Canton MA, 02021-2562. NPI Number 1033115704 has the healthcare provider type.

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1053397836 NPI number is provided on an as is basis without warranty of any kind. 1053397836 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Goodman Md are for informational purposes only.