Organization
EDWARD F GOODMAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD F GOODMAN M.D., INC (PHYSICIAN)
(617) 625-8250
Entity
Organization
Contact information
Practice address
265 MEDFORD ST, STE 312, SOMERVILLE, MA 02143-1963
(617) 625-8250
Mailing address
265 MEDFORD ST, STE 312, SOMERVILLE, MA 02143-1963
(617) 625-8250
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M11052
BLUE SHIELD
MA
Enumeration date
07/17/2007
Last updated
12/15/2009
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