# JEFFREY GOODSELL MD PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFREY GOODSELL MD PLLC
- **Other names:** Fireside Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962202291
- **Legal business name:** JEFFREY GOODSELL MD PLLC
- **Authorized official:** DR. JEFFREY GOODSELL MD (OWNER)
- **Authorized official phone:** (703) 268-8843

## Contact information

- **Practice address:** 148 OAK ST, GLASTONBURY, CT 06033-2318
- **Practice address phone:** (860) 351-7401
- **Practice address fax:** (833) 973-6047
- **Mailing address:** 148 OAK ST, GLASTONBURY, CT 06033-2318
- **Mailing address fax:** (860) 703-7932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 08/13/2025