Individual
BRANDEN R GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6 POPLAR DR, SEYMOUR, CT 06483-2425
(203) 305-0323
Mailing address
6 POPLAR DR, SEYMOUR, CT 06483-2425
(203) 305-0323
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
10.129517
CT
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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