Goode, Deirdre Ann

Goode, Deirdre Ann is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Goode, Deirdre Ann can be contacted via phone (617) 667-7000.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5400
Phone: (617) 667-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 287956 Massachusetts

Profile Details

NPI number 1669967477
LBN Legal business name Goode, Deirdre Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated May 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669967477 NPPES
Massachusetts MEDICAID 110174337A

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