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Organization

JEFFREY GOODSELL MD PLLC

Active
Parent organization
JEFFREY GOODSELL MD PLLC
Other names
Fireside Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFREY GOODSELL MD PLLC
Authorized official
DR. JEFFREY GOODSELL MD (OWNER)
(703) 268-8843
Entity
Organization

Contact information

Practice address
148 OAK ST, GLASTONBURY, CT 06033-2318
(860) 351-7401
(833) 973-6047
Mailing address
148 OAK ST, GLASTONBURY, CT 06033-2318
(860) 703-7932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/17/2025
Last updated
08/13/2025
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