Individual
JEFFREY GOODSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 OAK ST, GLASTONBURY, CT 06033-2318
(860) 351-7401
(833) 973-6047
Mailing address
148 OAK ST, GLASTONBURY, CT 06033-2318
(860) 351-7401
(833) 973-6047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61787
CT
207Q00000X
Family Medicine Physician
MT209559
PA
Other
Enumeration date
06/05/2015
Last updated
07/30/2025
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