Individual
BRIAN BENJAMIN GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
110 COURT ST STE 2B, CROMWELL, CT 06416-1273
(860) 740-2016
(860) 672-3852
Mailing address
291 GOFF RD, WETHERSFIELD, CT 06109-2406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7467
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7467
STATE OF CONNECTICUT
CT
Enumeration date
02/18/2018
Last updated
07/29/2024
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