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Individual

DENNIS JAY GOTTFRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
895 E MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Mailing address
895 E MAIN ST, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21448
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004394904
CT
01
C011077
MEDICARE GROUP UPIN
Enumeration date
07/21/2006
Last updated
09/29/2022
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