Individual
DR. COLLEEN GOOSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
10A MAIN ST, MIDDLETOWN, CT 06457-3407
(860) 346-8601
Mailing address
10A MAIN ST, MIDDLETOWN, CT 06457-3407
(860) 346-8601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011559
CT
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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