Individual
TATIANA A. GOCLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
187 BEACON RD, BETHANY, CT 06524-3054
(413) 388-2892
Mailing address
100 WASON AVE STE 120, SPRINGFIELD, MA 01107-1179
(413) 241-2100
(413) 735-1986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007735
CT
363LF0000X
Family Nurse Practitioner
RN231763
MA
Other
Enumeration date
03/03/2017
Last updated
06/14/2019
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