Individual
DR. JUSTIN GLENN GORALNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-2000
Mailing address
80 S MAIN ST, STE 204, MIDDLETOWN, CT 06457-3648
(646) 670-3749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61061
CT
207RP1001X
Pulmonary Disease Physician
Primary
61061
CT
Other
Enumeration date
06/26/2012
Last updated
07/09/2018
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