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NPI Code Detail

MEDICARE: MARTIN D GOODMAN M.D.

MEDICARE: MARTIN D GOODMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician230956MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A79675OTHERCALICENSE

General Provider Information

NPI Number : 1992846091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN D GOODMAN M.D.
Provider Business Mailing Address
First Line : 800 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1552
Country : US
Telephone Number : 617-636-5000
Fax Number :
Provider Business Practice Location Address
First Line : 800 WASHINGTON ST
Second Line : BOX 1706
City : BOSTON
State : MA
Zip : 02111-1552
Country : US
Telephone Number : 617-636-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 02/19/2026

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Directions to “ MARTIN D GOODMAN M.D.” Practice Location

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