Goodenough, Richard Duane

Goodenough, Richard Duane is an individual health care provider with primary practice located at 104 Endicott St Suite 200, Danvers MA 01923-3623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodenough, Richard Duane can be contacted via phone (978) 882-6868.

Contact Information

Primary practice address
104 Endicott St Suite 200 Danvers MA 01923-3623
Phone: (978) 882-6868
Fax: (978) 882-6828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 46582 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 46582 Massachusetts

Profile Details

NPI number 1568431641
LBN Legal business name Goodenough, Richard Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated May 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568431641 NPPES
Massachusetts MEDICAID 6192947

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