Active NPIIndividual provider

Holly L Goodale, MD

Specialist in Dorchester, Massachusetts

NPI Number1750340410
Practice location
1353 Dorchester Ave, Dorchester, MA 02122-2932
Fax
—
Last updated
August 22, 2014

Holly L Goodale is a Specialist based in Dorchester, MA. Holly L Goodale practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Holly L Goodale is 1750340410 and holds a License No. 77726 (MA). The current practice location address for Holly L Goodale is 1353 Dorchester Ave, Dorchester, MA 02122-2932 and can be reached out via phone at 617-740-2277.

Provider Profile Details

NPI Number
1750340410
Provider Name
Holly L Goodale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1353 Dorchester Ave, Dorchester, MA 02122-2932
Phone Number
617-740-2277
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2006
Last Update Date
August 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1353 Dorchester Ave
Dorchester, MA 02122-2932
Zip
02122-2932
Phone Number
617-740-2277
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
1353 Dorchester Ave
Dorchester, MA 02122-2932
City
Dorchester
State
MA
Zip
02122-2932
Phone Number
617-740-2277

License Information

License Number
77726
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Holly L Goodale, MD?

The NPI number of Holly L Goodale, MD is 1750340410. It was assigned on March 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Holly L Goodale, MD?

Holly L Goodale, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 77726.

Where does Holly L Goodale, MD practice?

The practice location is 1353 Dorchester Ave, Dorchester, MA 02122-2932. The office can be reached at 617-740-2277 (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 1750340410 directly on the NPPES registry website.

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