Provider Demographics
NPI:1245525120
Name:GOODSTEIN, MONICA ELIZABETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ELIZABETH
Last Name:GOODSTEIN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:800 WASHINGTON ST # 437
Mailing Address - Street 2:TUFTS MEDICAL CENTER DEPARTMENT OF SURGERY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST # 437
Practice Address - Street 2:TUFTS MEDICAL CENTER DEPARTMENT OF SURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-18
Last Update Date:2022-02-11
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Provider Licenses
StateLicense IDTaxonomies
MA258299208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery