Individual
CHERYL K GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-2802
(203) 785-2802
Mailing address
333 CEDAR ST, TMP 3, NEW HAVEN, CT 06510-3206
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
62085
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01586781
—
CT
Enumeration date
11/21/2005
Last updated
11/12/2018
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