Individual
DR. GERRI L GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 OLD DERBY ST STE 451, HINGHAM, MA 02043-4062
(781) 534-3804
(817) 749-5853
Mailing address
160 OLD DERBY ST STE 451, HINGHAM, MA 02043-4062
(781) 534-3804
(781) 749-5853
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
222192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075324A
—
MA
01
—
J28395
BCBS
—
Enumeration date
07/29/2005
Last updated
11/28/2023
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