MRS. Audrey Ann Goforth

NPI #1598970576 in Wakefield, Massachusetts

Provider Information

NPI Number: 1598970576
Entity Type: Individual
Name: MRS. Audrey Ann Goforth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 607 NORTH AVE STE 12
City: Wakefield
State: Massachusetts
ZIP Code: 01880-1307
Phone: (781) 245-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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