Individual
MARTIN CORDON GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
15 FARM SPRINGS RD APT 329, FARMINGTON, CT 06032-2593
(860) 977-2894
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14063
CT
Other
Enumeration date
05/13/2024
Last updated
06/03/2024
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