Organization
NORTHWEST CONNECTICUT PHYSICIANS LLC
Active
Other names
GOTTFRIED TAKIFF MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JAY GOTTFRIED M.D. (PARTNER)
(860) 489-1291
Entity
Organization
Contact information
Practice address
895 EAST MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Mailing address
895 EAST MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021448
CT
363LA2200X
Adult Health Nurse Practitioner
004854
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004394904
—
CT
Enumeration date
08/01/2007
Last updated
06/05/2014
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