Goodman, Gerri L

Goodman, Gerri L is an individual health care provider with primary practice located at 160 Old Derby St Ste 451 , Hingham MA 02043-4062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Goodman, Gerri L can be contacted via phone (781) 534-3804.

Contact Information

Primary practice address
160 Old Derby St Ste 451 Hingham MA 02043-4062
Phone: (781) 534-3804
Fax: (817) 749-5853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 222192 Massachusetts

Profile Details

NPI number 1942200043
LBN Legal business name Goodman, Gerri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 28th, 2023 - 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 1942200043 NPPES
Massachusetts MEDICAID 110075324A
Massachusetts Other J28395

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