Individual
DR. RUSSELL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS STREET, BOSTON, BOSTON, MA 02115
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247980
MA
207RG0100X
Gastroenterology Physician
Primary
260053
MA
Other
Enumeration date
06/16/2011
Last updated
11/28/2016
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