Goodman, Annekathryn
Goodman, Annekathryn is an individual health care provider with primary practice located at 55 Fruit St Yaw 9, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Goodman, Annekathryn can be contacted via phone (617) 724-4800.Contact Information
Primary practice address
55 Fruit St Yaw 9
Boston MA 02114-2621
Phone: (617) 724-4800
Fax: (617) 726-1949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 53787 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 53787 | Massachusetts |
Profile Details
| NPI number | 1699765255 |
|---|---|
| LBN Legal business name | Goodman, Annekathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Dec 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699765255 | NPPES |
| Massachusetts | Other | 053787 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J07752 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3037878 | TUFTS HEALTH PLAN |
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