Individual
MS. ELYSE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
148 LINDEN ST, SUITE 208, WELLESLEY, MA 02482-7900
(781) 239-0290
(781) 235-6819
Mailing address
148 LINDEN ST, SUITE 208, WELLESLEY, MA 02482-7900
(781) 239-0290
(781) 235-6819
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
207099
MA
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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