Individual
IAN S GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-3233
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227319
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
227319
MA
Other
Enumeration date
07/11/2006
Last updated
11/11/2021
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