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Individual

ROBERT C GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM PC

Contact information

Practice address
10 COLONIAL RD STE 8, COLONIAL OFFICE PARK, SALEM, MA 01970-2947
(978) 744-4904
(978) 744-2589
Mailing address
10 COLONIAL RD STE 8, COLONIAL OFFICE PARK, SALEM, MA 01970-2947
(978) 744-4904
(978) 744-2589

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1635
MA
213ES0131X
Foot Surgery Podiatrist
1635
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0341363
MA
Enumeration date
07/10/2006
Last updated
12/28/2010
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