Individual
DR. ROBERT L. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 MORGAN RD, WEST SPRINGFIELD, MA 01089-1410
(413) 781-1576
(413) 785-1812
Mailing address
PO BOX 1163, WEST SPRINGFIELD, MA 01090-1163
(413) 781-1576
(413) 785-1812
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
44739
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079585
—
MA
Enumeration date
09/23/2006
Last updated
07/08/2007
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