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Maia E Goodall, PA-C

Physician Assistant in Boston, MA. Individual provider (NPI-1).

NPI number1457378317
StatusActive
Last updated in NPPESMay 3, 2023

Details

NPI
1457378317
Entity type
Individual (NPI-1)
Name
Maia E Goodall
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2006
Certification date
May 3, 2023
Last updated
May 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA1568MAYes

Practice location

300 Longwood Ave
Boston, MA 02115-5724

Phone 617-355-6000

Mailing address

300 Longwood Ave
Boston, MA 02115-5724

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