| Dr David C Goodman, MD | |
|
1 Medical Center Dr, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-1000 | |
| (603) 653-9885 | |
| Not Available |
| Full Name | Dr David C Goodman |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134232374 | NPI | - | NPPES |
| 1002273 | Medicaid | VT | |
| 3079277 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 6878 (New Hampshire) | Primary |
| Entity Name | Dartmouth-hitchcock Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David C Goodman, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 653-9885 | Dr David C Goodman, MD 1 Medical Center Dr, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-1000 Ph: (603) 653-9885 |
Dr. Donald Paul Woodmansee Jr., M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Section Of Allergy/immunology, Lebanon, NH 03756 Phone: 603-653-9885 | |
Dr. Ogechukwu Ndum, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 | |
Dr. Mary Kay Hillinger, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dhmc Allergy, Lebanon, NH 03756 Phone: 603-653-9885 Fax: 603-650-0907 | |
Karen S Hsu Blatman, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-9885 | |
Marcus Sidney Shaker, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-653-9885 | |
Susan Mozzicato, M.D., M.H.S. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Allergy &clinical Immunology, Department Of Pediatrics, Lebanon, NH 03756 Phone: 603-653-9885 Fax: 603-650-0907 |