Individual
GILLIAN ROSE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 CRANSTON ST APT 3, BOSTON, MA 02130-1848
(972) 900-2356
Mailing address
38 CRANSTON ST APT 3, BOSTON, MA 02130-1848
(972) 900-2356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
285521
MA
208600000X
Surgery Physician
35.134478
OH
Other
Enumeration date
01/27/2015
Last updated
10/26/2020
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