Individual
ABIGAIL GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
20 YORK STREET, CB-329, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-9638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4685
CT
363A00000X
Physician Assistant
MPA.2427 TL
SC
Other
Enumeration date
09/28/2015
Last updated
01/16/2020
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