Individual
MR. ERIC MICHAEL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Mailing address
590 COURT ST, DEPARTMENT OF PEDIATRICS, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
047780-23-02
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340964
—
NH
Enumeration date
02/08/2007
Last updated
10/18/2023
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