Individual
TIMOTHY EDWARD GOUNDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N MOUNTAIN RD STE 201, PLAINVILLE, CT 06062-1848
(860) 223-0800
(860) 241-8296
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9093
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
043222
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432228
—
CT
Enumeration date
02/14/2006
Last updated
09/08/2023
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