Theodore Goodman MD

NPI #1053397836 in Canton, Massachusetts

Provider Information

NPI Number: 1053397836
Entity Type: Organization
Organization Name: Theodore Goodman MD
Primary Specialty: Pediatrics
Enumeration Date: Dec 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 800 WASHINGTON ST
City: Canton
State: Massachusetts
ZIP Code: 02021-2562
Phone: (781) 828-3019

Authorized Official

Name: THEODORE GOODMAN, MD
Title: PRESIDENT
Phone: (800) 927-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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