Provider Demographics
NPI:1326057449
Name:GOODKIN, RASHEL (MD)
Entity Type:Individual
Prefix:
First Name:RASHEL
Middle Name:
Last Name:GOODKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LAUREL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481
Mailing Address - Country:US
Mailing Address - Phone:781-235-8155
Mailing Address - Fax:781-235-2855
Practice Address - Street 1:10 LAUREL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-235-8155
Practice Address - Fax:781-235-2855
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA208259207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60235Medicare UPIN