Goodman, Thomas A
Goodman, Thomas A is an individual health care provider with primary practice located at 100 Boston Rd , Groton MA 01450-1860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Goodman, Thomas A can be contacted via phone (978) 448-4300.Contact Information
Primary practice address
100 Boston Rd
Groton MA 01450-1860
Phone: (978) 448-4300
Fax: (978) 448-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 73832 | Massachusetts |
Profile Details
| NPI number | 1194702555 |
|---|---|
| LBN Legal business name | Goodman, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jan 25th, 2010 - about 15 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 | 1194702555 | NPPES |
| Massachusetts | MEDICAID | 3077462 |
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