Stacy Meredith Goins, MD
Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1003669938
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1003669938
- Entity type
- Individual (NPI-1)
- Name
- Stacy Meredith Goins
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 10, 2024
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 3016606 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2800
Mailing address
55 Fruit StBoston, MA 02114-2696
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