Provider Demographics
NPI:1750430393
Name:GOODING, HOLLY C (MD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:C
Last Name:GOODING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHMAN INTERNAL MEDICINE ASSOCIATES
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-6660
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHMAN INTERNAL MEDICINE ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA229630207R00000X
GA82199207RA0000X
MA235674207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine