Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. BENJAMIN DAVID GOODLETT PHD
Gender: MALE
NPI: 1144715798
|
Last Updated: | 2018-06-26 | ||
| Certification Date: |
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144715798 | ||||||||
| Enumeration Date | 2018-06-26 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address |
300 LONGWOOD AVE FEGAN 4 GENETICS
BOSTON, MA 02115-5724 United States Phone: 617-355-4697 | Fax: View Map 
|
||||||||
| Primary Practice Address |
300 LONGWOOD AVE FEGAN 4 GENETICS
BOSTON, MA 02115 United States Phone: 617-355-4697 | Fax: View Map
|
||||||||
| Health Information Exchange |
|
||||||||
| Other Identifiers |
|
||||||||
| Taxonomy |
|
||||||||