Individual
DANIEL JACOB GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101
(781) 608-0206
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(781) 608-0206
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DO2639
ME
Other
Enumeration date
06/27/2013
Last updated
08/11/2016
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