Individual
MARTIN D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOX 1706, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
230956
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79675
LICENSE
CA
05
—
YYY34803Y
—
CA
Enumeration date
02/09/2007
Last updated
02/19/2026
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