Organization
DAVID J. GOODKIND, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J GOODKIND M.D. (OWNER)
(203) 871-3799
Entity
Organization
Contact information
Practice address
2 CHESTNUT ST, BRANFORD, CT 06405-3796
(203) 871-3799
(203) 646-9719
Mailing address
2 CHESTNUT ST, BRANFORD, CT 06405-3796
(203) 871-3799
(203) 646-9719
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
024179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001241793
—
CT
Enumeration date
01/27/2011
Last updated
01/27/2011
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