Individual
SCOTT L GOFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
780 MAIN ST, SUITE 9, GREAT BARRINGTON, MA 01230-2148
(413) 528-5184
(413) 528-1077
Mailing address
17 TACONIC AVE, GREAT BARRINGTON, MA 01230-1709
(413) 528-5184
(413) 528-4069
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2077441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062763/9730940
—
MA
Enumeration date
02/07/2006
Last updated
10/02/2017
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