Thomas Robin Goodman, MBBCH | |
20 York St, Ynhh South Pavilion - 2nd Floor, New Haven, CT 06510-3220 | |
(203) 688-2433 | |
(203) 688-9258 |
Full Name | Thomas Robin Goodman |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 20 York St, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285615252 | NPI | - | NPPES |
001417105 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 041710 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
---|---|
Thomas Robin Goodman, MBBCH 300 George Street, 6th Floor Po Box 9805, New Haven, CT 06536-0805 Ph: () - | Thomas Robin Goodman, MBBCH 20 York St, Ynhh South Pavilion - 2nd Floor, New Haven, CT 06510-3220 Ph: (203) 688-2433 |
Genevieve Maquilan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 35 Park St, New Haven, CT 06519 Phone: 203-200-2100 | |
Arthur H Knowlton, MD Radiology Medicare: Medicare Enrolled Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3131 Fax: 203-789-3133 | |
Ariel Kanevsky, Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-200-5590 | |
Caroline R Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 20 York St, Ynhh South Pavilion, 2nd Fl, New Haven, CT 06510 Phone: 203-688-2433 Fax: 203-688-9258 | |
Cheng-han Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-2433 | |
J E Fredrik Zetterberg, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3124 Fax: 203-789-4118 | |
Cindy Renee Miller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Ynhh Children's Hospital - Wp-2, New Haven, CT 06510 Phone: 203-688-2433 Fax: 203-688-9258 |