Individual
DR. JONATHAN E GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
5 MAPLE ST, BRISTOL, CT 06010-5031
(860) 584-5746
(860) 584-5748
Mailing address
5 MAPLE ST, BRISTOL, CT 06010-5031
(860) 584-5746
(860) 584-5748
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
208
CT
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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