Individual
TOBIAS MARK GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 EAST AVE, WESTERLY, RI 02891-3113
(401) 596-7736
(401) 596-6368
Mailing address
41 EAST AVE, WESTERLY, RI 02891-3113
(401) 596-7736
(401) 596-6368
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
RI4530
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900402
—
RI
Enumeration date
09/09/2005
Last updated
07/08/2007
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