Individual
DR. ANNEKATHRYN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 9, BOSTON, MA 02114-2621
(617) 724-4800
(617) 726-1949
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4800
(617) 726-1949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
53787
MA
207VX0201X
Gynecologic Oncology Physician
Primary
53787
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053787
TUFTS HEALTH PLAN
MA
05
—
3037878
—
MA
01
—
J07752
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
12/06/2013
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