Theodore Goodman Md

LBN: Theodore Goodman Md
Theodore Goodman Md is an health care organization with primary practice located at 800 Washington St , Canton MA 02021-2562. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Theodore Goodman Md can be contacted via phone (781) 828-3019, or through Goodman, Theodore via phone (800) 927-0002.

Contact Information

Primary practice address
800 Washington St Canton MA 02021-2562
Phone: (781) 828-3019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Theodore Doctor of Medicine (MD)
Phone: (800) 927-0002

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Massachusetts

Profile Details

NPI number 1053397836
LBN Legal business name Theodore Goodman Md
DBA Doing business as
Authorized official Goodman, Theodore Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053397836 NPPES
Massachusetts MEDICAID 0133728

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