| NPI | 1396935615 |
|---|---|
| Former Legal Business Name | GOTTFRIED TAKIFF MD |
| Entity Type | Organization |
| Authorized Contact | DENNIS JAY GOTTFRIED Partner 860-489-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 021448) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004854) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2014-06-05 |