LOIS GOODMAN MD PLLC NPI 1326602814

NPI Information

LOIS GOODMAN MD PLLC is a gynecology obstetrics gynecology in Wellesley Hills, MA. LOIS GOODMAN MD PLLC NPI is 1326602814. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lois S. Goodman Md Pllc.

The provider's business location address is:

422 WORCESTER ST STE 103
WELLESLEY HILLS, MA
ZIP 02481-341
Phone: (339) 686-8825
Fax: (339) 686-8835

The provider's authorized official is Lois S. Goodman .
The authorized official title is Owner and has the following contact phone number (339) 686-8825.

The CLIA number assigned to this NPI record is 22D2163577 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 5/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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