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Individual

DR. LOIS S. GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
45 COLPITTS RD, WESTON, MA 02493-1546
(781) 899-7778
(781) 899-0475
Mailing address
45 COLPITTS RD, WESTON, MA 02493-1546
(781) 899-7778
(781) 899-0475

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
36529
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016763
NHP-MA (10)
MA
01
036529
TUFTS
MA
01
043550681
HEALTH NET OF NE (62)
MA
01
13636
HPHC
MA
01
27416
CMSP/HSP (401)
MA
01
3580607003
CIGNA (33)
MA
01
36529
MEDICAL LICENSE (1)
MA
01
578760
HEALTHSOURCE
MA
01
GOMO9146
BCBS (6)
MA
Enumeration date
07/17/2005
Last updated
09/20/2010
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