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Individual

DIANA JEANNE GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
49 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 883-1414
(207) 883-1010
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036.134858
IL
2084N0400X
Neurology Physician
LP01025
RI
2084N0400X
Neurology Physician
MD 34440
SC
2084N0400X
Neurology Physician
Primary
MD20895
ME
2084N0400X
Neurology Physician
MD439848
PA

Other

Enumeration date
04/19/2007
Last updated
08/18/2016
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