Individual
ROY GOONEWARDENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
135 BRADFORD WALK, NEW BRITAIN, CT 06053-1074
(860) 558-9169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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