Active NPIIndividual provider

Richard P Goddeau Jr., DO

Psychiatry & Neurology, Neurology in Worcester, Massachusetts

NPI Number1881745826
Practice location
55 Lake Ave N, Department Of Neurology, Worcester, MA 01655-0002
Fax
508-856-6778
Last updated
December 16, 2020

Richard P. Goddeau is a Psychiatry & Neurology, Neurology based in Worcester, MA. Richard P. Goddeau practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Richard P. Goddeau is 1881745826 and holds a License No. 14500 (NH). The current practice location address for Richard P. Goddeau is 55 Lake Ave N, Department Of Neurology, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-2527 and via fax at 508-856-6778.

Provider Profile Details

NPI Number
1881745826
Provider Name
Richard P. Goddeau
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Department Of Neurology, Worcester, MA 01655-0002
Phone Number
508-334-2527
Fax Number
508-856-6778
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2007
Last Update Date
December 16, 2020
Certification Date
December 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Department Of Neurology
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-2527
Fax Number
508-856-6778
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
14500
License State (1)
NH
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
238478
License State (2)
MA
License Number (3)
238478
License State (3)
MA
Taxonomy (3)
Psychiatry & Neurology, Neurology · 2084N0400X · 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 Richard P Goddeau Jr., DO?

The NPI number of Richard P Goddeau Jr., DO is 1881745826. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Richard P Goddeau Jr., DO?

Richard P Goddeau Jr., DO is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in NH under license number 14500.

Where does Richard P Goddeau Jr., DO practice?

The practice location is 55 Lake Ave N, Department Of Neurology, Worcester, MA 01655-0002. The office can be reached at 508-334-2527 (phone) or 508-856-6778 (fax).

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 1881745826 directly on the NPPES registry website.

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