Individual
JOHN F GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1577 CONGRESS ST, 2ND FLOOR, PORTLAND, ME 04102
(207) 662-1442
(207) 775-2467
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD8706
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338080099
—
ME
Enumeration date
01/11/2007
Last updated
11/09/2012
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