Individual
DR. VICTORIO GO TE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 QUARRY ST, WILLIMANTIC, CT 06226-1225
(860) 456-2201
(860) 450-1660
Mailing address
90 QUARRY ST, WILLIMANTIC, CT 06226-1225
(860) 456-2201
(860) 450-1660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042927
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429274
—
CT
01
—
042927
CONNECTICARE
CT
01
—
429034
WELLCARE
CT
01
—
7069588
AETNA
CT
01
—
P00752315
RR MEDICARE
CT
Enumeration date
01/30/2006
Last updated
01/04/2022
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