Organization
GROTON MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GOODMAN MD (OWNER PHYSICIAN)
(978) 448-4300
Entity
Organization
Contact information
Practice address
100 BOSTON RD, GROTON, MA 01450-1860
(978) 448-4300
(978) 448-4040
Mailing address
100 BOSTON RD, GROTON, MA 01450-1860
(978) 448-4300
(978) 448-4040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9764283
—
MA
Enumeration date
02/12/2007
Last updated
11/17/2010
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