Individual
BRENDAN GONTARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3467
(860) 679-1460
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9093
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75034
CT
Other
Enumeration date
04/04/2016
Last updated
06/22/2023
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