Goodwin, Gregory

Goodwin, Gregory is an individual health care provider with primary practice located at 333 Longwood Ave , Boston MA 02115-5711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Goodwin, Gregory can be contacted via phone (617) 355-7476.

Contact Information

Primary practice address
333 Longwood Ave Boston MA 02115-5711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 071016 Massachusetts

Profile Details

NPI number 1326002817
LBN Legal business name Goodwin, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 4th, 2011 - about 14 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 1326002817 NPPES
Massachusetts MEDICAID 7007517

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