Individual
DR. CASEY ELISABETH GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8022
(860) 679-4225
(860) 679-1217
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8022
(860) 679-4225
(860) 679-1217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199729
PA
207RI0200X
Infectious Disease Physician
Primary
056858
CT
Other
Enumeration date
05/28/2011
Last updated
09/28/2022
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