| Robert C. Goodwin Md Llc | |
|
1726 Ellington Rd South Windsor CT 06074-2739 | |
| (860) 644-9191 | |
| (860) 644-9191 |
| Full Name | Robert C. Goodwin Md Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1726 Ellington Rd, South Windsor, Connecticut |
| Authorized Official Name and Position | Robert C. Goodwin (MANAGING MEMBER) |
| Authorized Official Contact | 8606449191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C. Goodwin Md Llc 1726 Ellington Rd South Windsor CT 06074-2739 Ph: (860) 644-9191 | Robert C. Goodwin Md Llc 1726 Ellington Rd South Windsor CT 06074-2739 Ph: (860) 644-9191 |
| NPI Number | 1366623951 |
|---|---|
| Provider Enumeration Date | 11/25/2007 |
| Last Update Date | 11/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366623951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 16361 (Connecticut) | Primary |
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