Individual
GREGORY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 LONGWOOD AVE, BOSTON, MA 02115-5711
(617) 355-7476
Mailing address
59 MANCHESTER AVE, SOMERSET, MA 02726-4043
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
071016
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7007517
—
MA
Enumeration date
04/13/2006
Last updated
05/04/2011
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