Ian S Goodman, M.D.
Pediatrics, Pediatric Emergency Medicine in Springfield, MA. Individual provider (NPI-1).
NPI number1295760262
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1295760262
- Entity type
- Individual (NPI-1)
- Name
- Ian S Goodman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 227319 | MA | Yes |
| 208000000X | Pediatrics | 227319 | MA |
Practice location
759 Chestnut StSpringfield, MA 01199-0001
Phone 413-794-3233
Mailing address
280 Chestnut St2nd Fl
Springfield, MA 01199-1619
Phone 413-794-5700
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