Individual
DR. SCOTT BARRY GOETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, 4 SOUTH, DORCHESTER CENTER, MA 02124-5615
(617) 296-4000
Mailing address
5 PLIMPTON RD, SHARON, MA 02067-1627
(781) 784-4643
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701157
TUFTS HEALTH PLAN
MA
01
—
E05740
BCBS MA
MA
Enumeration date
12/05/2005
Last updated
01/15/2009
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