Provider Demographics
NPI:1821282047
Name:GOGGIN, DAVID J (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:GOGGIN
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Gender:M
Credentials:PT
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Mailing Address - Street 1:780 CHESTNUT ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1610
Mailing Address - Country:US
Mailing Address - Phone:413-846-4330
Mailing Address - Fax:413-846-4332
Practice Address - Street 1:780 CHESTNUT ST
Practice Address - Street 2:SUITE 22
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1610
Practice Address - Country:US
Practice Address - Phone:413-846-4330
Practice Address - Fax:413-846-4332
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
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Provider Licenses
StateLicense IDTaxonomies
MA7116225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY66386OtherBCBS OF MA