Organization
SHORELINE FAMILY PRACTICE LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOLDEN MD (PARTNER)
(860) 442-5565
Entity
Organization
Contact information
Practice address
36 CLARK LN, WATERFORD, CT 06385-2310
(860) 442-5565
(860) 444-2673
Mailing address
36 CLARK LN, WATERFORD, CT 06385-2310
(860) 442-5565
(860) 444-2673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031420
CT
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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