Individual
DR. JAMES A GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37 OAKES AVE, SOUTHBRIDGE, MA 01550-4011
(508) 765-5417
(508) 765-0558
Mailing address
37 OAKES AVENUE, SOUTHBRIDGE, MA 01550
(508) 765-5417
(508) 765-0558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133809
—
MA
Enumeration date
07/04/2006
Last updated
07/17/2007
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