Individual
JASON MICHAEL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 OSBORNE ST FL 3, DANBURY, CT 06810-6000
(203) 739-7155
Mailing address
111 OSBORNE ST FL 3, DANBURY, CT 06810-6000
(203) 739-7155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
65120
CT
Other
Enumeration date
04/23/2014
Last updated
04/23/2020
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