Provider Demographics
NPI:1811969793
Name:GOODMAN, MURRAY J (MD)
Entity type:Individual
Prefix:
First Name:MURRAY
Middle Name:J
Last Name:GOODMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 HIGHLAND AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2702
Mailing Address - Country:US
Mailing Address - Phone:978-745-6282
Mailing Address - Fax:978-745-1127
Practice Address - Street 1:100 HIGHLAND AVE
Practice Address - Street 2:STE 101
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2702
Practice Address - Country:US
Practice Address - Phone:978-745-6282
Practice Address - Fax:978-745-1127
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2017-01-16
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Provider Licenses
StateLicense IDTaxonomies
MI35923207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2031108Medicaid
MA2031108Medicaid
B98662Medicare UPIN
MAB98662Medicare ID - Type Unspecified