# SHORELINE FAMILY PRACTICE LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205943081
- **Authorized official:** DAVID GOLDEN MD (PARTNER)
- **Authorized official phone:** (860) 442-5565

## Contact information

- **Practice address:** 36 CLARK LN, WATERFORD, CT 06385-2310
- **Practice address phone:** (860) 442-5565
- **Practice address fax:** (860) 444-2673
- **Mailing address:** 36 CLARK LN, WATERFORD, CT 06385-2310
- **Mailing address phone:** (860) 442-5565
- **Mailing address fax:** (860) 444-2673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 031420 | CT | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/22/2020