Individual
TIMOTHY PETER GOSTKOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
538 LITCHFIELD ST, SUITE 201, TORRINGTON, CT 06790-6669
(860) 489-7017
(860) 489-8943
Mailing address
538 LITCHFIELD ST, SUITE 201, TORRINGTON, CT 06790-6669
(860) 489-7017
(860) 489-8943
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33160
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001331602-01
BLUECARE FAMILY PLAN (MCD
CT
01
—
010033160CT03
ANTHEM BC/BS
CO
01
—
033160
CONNECTICARE
—
01
—
0846181
CIGNA
—
01
—
2V4881
HEALTHNET
—
01
—
3487070
AETNA
—
01
—
P667456
OXFORD
—
Enumeration date
01/13/2006
Last updated
07/08/2007
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