Provider Demographics
NPI:1073619151
Name:GOODMAN, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:GOODMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:87 MCGREGOR ST
Mailing Address - Street 2:STE 2200
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3765
Mailing Address - Country:US
Mailing Address - Phone:603-695-2500
Mailing Address - Fax:603-629-8626
Practice Address - Street 1:87 MCGREGOR ST
Practice Address - Street 2:STE 2200
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3765
Practice Address - Country:US
Practice Address - Phone:603-695-2500
Practice Address - Fax:603-629-8626
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH9374207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008317Medicaid
NHRE3658Medicare PIN
NHG01283Medicare UPIN