- Practice location
- 800 Washington St, Canton, MA 02021-2562
- Phone
- 781-828-3019
- Fax
- —
- Last updated
- August 22, 2020
Theodore Goodman MD is a healthcare organization based in Canton, MA. Theodore Goodman MD practices in Canton, MA. The NPI Number for Theodore Goodman MD is 1053397836. The current practice location address for Theodore Goodman MD is 800 Washington St, Canton, MA 02021-2562 and can be reached out via phone at 781-828-3019.
Provider Profile Details
- NPI Number
- 1053397836
- Provider Name
- Theodore Goodman MD
- Provider Entity Type
- Organization
- Address
- 800 Washington St, Canton, MA 02021-2562
- Phone Number
- 781-828-3019
- Primary Taxonomy
- Pediatrics · 208000000X
- Organization Subpart
- No
- Authorized Official
- Theodore Goodman, MD · President · 800-927-0002
- Provider Enumeration Date
- December 22, 2005
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Washington St
Canton, MA 02021-2562 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-2562
- Phone Number
- 781-828-3019
Provider Business Mailing Address Details
- Address
- Po Box 9132
Brookline, MA 02446-9132 - City
- Brookline
- State
- MA
- Zip
- 02446-9132
- Phone Number
- 800-927-0002
License Information
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theodore Goodman MD?
The NPI number of Theodore Goodman MD is 1053397836. It was assigned on December 22, 2005 and is currently active in the NPPES registry.
What is the specialty of Theodore Goodman MD?
Theodore Goodman MD is registered under the primary taxonomy Pediatrics (code 208000000X).
Where does Theodore Goodman MD practice?
The practice location is 800 Washington St, Canton, MA 02021-2562. The office can be reached at 781-828-3019 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053397836 directly on the NPPES registry website.