DANTE GOODWIN

NEW BRITAIN, CT
NPI1104479153
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  8293)
Enumeration Date2019-07-18
Last Update Date2019-07-18
Business Address
DANTE GOODWIN AGNP
55 GRAND ST
NEW BRITAIN, CT 06052-2021
Phone number: 860-223-3617
Mailing Address
DANTE GOODWIN AGNP
1274 E MAIN ST APT C13
MERIDEN, CT 06450-4868
Phone number:
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