Individual
MICHAEL A GOODFRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 WORCESTER CENTER BLVD, WORCESTER, MA 01608-1312
(508) 368-3130
(508) 368-3133
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 368-3130
(508) 368-3133
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31210
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
05
—
2003121
—
MA
01
—
2127489
FIRST HEALTH
—
01
—
2501884
EVERCARE
—
01
—
3842103
CIGNA HEALTH PLAN
—
01
—
4270345
AETNA US HEALTHCARE
—
01
—
441346
TUFTS HEALTH PLAN
—
01
—
47644
HEALTHY START
—
01
—
67507
FALLON COMMUNITY HEALTH
—
01
—
784021
MVP HEALTH CARE
—
01
—
AA5962
HARVARD PILGRIM HEALTHCAR
—
01
—
J26791
BLUE CARE ELECT
—
Enumeration date
12/01/2005
Last updated
02/05/2009
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