Organization Name: | DAVID J. GOODKIND, MD, PC |
NPI Number: | 1013213834 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID J GOODKIND (OWNER) |
Mailing Address: | 2 Chestnut St Branford |
State: | CT US |
Postal Code: | 064053796 |
Phone Number: | 2038713799 |
Fax Number: | 2036469719 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 01/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 024179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |