Organization
GLEN K. GOODMAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN K. GOODMAN M.D. (PRESIDENT)
(508) 381-5600
Entity
Organization
Contact information
Practice address
145 WEST ST, MILFORD, MA 01757-2278
(508) 381-5600
(508) 381-5610
Mailing address
145 WEST ST, MILFORD, MA 01757-2278
(508) 381-5600
(508) 381-5610
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
46944
MA
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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