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Bryan Goddard, MD
NPI 1780678169 · on the registry since 2005
Practice
- Address
- 2524 Route 9w
Ravena, NY 12143 - Phone
- (518) 756-7390
- Fax
- (518) 756-8030
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- MO, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York