Individual
ELIZABETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL MS100C, BOSTON, MA 02114-2696
(617) 643-6631
(617) 726-1886
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL MS100C, BOSTON, MA 02114-2696
(617) 643-6631
(617) 726-1886
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
77069
MA
Other
Enumeration date
05/04/2006
Last updated
05/18/2015
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