Richard Duane Goodenough in Danvers - Vascular Surgery
Richard Duane Goodenough - NPI 1568431641
Richard Duane Goodenough is a Vascular Surgery in Danvers, Massachusetts. Richard Duane Goodenough practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Richard Duane Goodenough is 1568431641. The last update date is 2012-05-18.
Richard Duane Goodenough's current location address is 104 Endicott St, Danvers, Massachusetts. You can contact this provider via phone number 9788826868 and fax number 9788826828. The mailing address for Richard Duane Goodenough is 104 Endicott St, Danvers, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Duane Goodenough |
|---|---|
| Address | 104 Endicott St, Danvers, Massachusetts |
| Phone Number | 9788826868 |
| Fax Number | 9788826828 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568431641 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2012-05-18 |
Provider Mailing Address Detail
| Address | 104 Endicott St |
|---|---|
| City | Danvers |
| State | Massachusetts (MA) |
| Post Code | 19233623 |
| Phone Number | 9788826868 |
| Fax Number | 9788826828 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 46582 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6192947 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Duane Goodenough?
The Richard Duane Goodenough has been issued the NPI (National Provider Identifier) 1568431641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Richard Duane Goodenough's physical address?
The Richard Duane Goodenough is physically located at 104 Endicott St, in the city of Danvers, MA, with the postal code 19233623.
What is the Richard Duane Goodenough's specialty and taxonomy code?
The Richard Duane Goodenough's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
When did Richard Duane Goodenough receive its 1568431641 assignment?
The Richard Duane Goodenough was assigned its 1568431641 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
When was the information related to Richard Duane Goodenough most recently updated or refreshed?
The details pertaining to the Richard Duane Goodenough, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-05-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY