Individual
MR. GREG GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1565 N MAIN ST, FALL RIVER, MA 02720-2972
(508) 973-2211
(508) 973-9885
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA01073
RI
363AS0400X
Surgical Physician Assistant
Primary
PA4517
MA
Other
Enumeration date
09/19/2008
Last updated
06/06/2024
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