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Individual

DR. ERIC H GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
229 MAIN ST, HAMBURG, NY 14075-4915
(716) 649-1342
(716) 649-3909
Mailing address
44 HUNT AVE, HAMBURG, NY 14075-5118
(716) 649-1495

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160322
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00855725
NY
Enumeration date
06/16/2005
Last updated
07/18/2011
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