Individual
DR. CORLIS L. ARCHER-GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 LAKE ST, BLDG B2ND, NEW BRITAIN, CT 06052-1396
(860) 826-4453
(860) 826-6219
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 826-4453
(860) 826-6219
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
038810
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00138810CT01
BCBS & BCFP
CT
01
—
01038810
CIGNA
CT
01
—
0V7374
HEALTH NET
CT
01
—
1255448155
GHMC GROUP NPI
CT
01
—
2355107
AETNA
CT
01
—
O2096535
OXFORD
CT
Enumeration date
05/24/2005
Last updated
07/09/2007
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