Individual
MR. DAVID JAY GOODKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CHESTNUT STREET, BRANFORD, CT 06405
(203) 871-3799
(203) 646-9719
Mailing address
2 CHESTNUT STREET, BRANFORD, CT 06405
(203) 871-3799
(203) 646-9719
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
024179
CT
2086S0105X
Surgery of the Hand (Surgery) Physician
024179
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
024179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001241793
—
CT
05
—
1241793
—
CT
Enumeration date
06/14/2006
Last updated
12/04/2009
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