Most Relevant Information
Provider Data
| NPI Number: | 1003296914 |
| Provider Name: | JEFFREY GOODSELL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MT209559 |
Most Important Dates
| Enumeration Date: | 06/05/2015 |
| Last Updated: | 08/27/2018 |
Provider Practice Location
415 KILLINGWORTH RD
HIGGANUM
CT
064414370
Practice Location Phone/Fax
| Phone: | 8603458535 |
| Fax: | 8603458678 |
Provider Mailing Location
415 KILLINGWORTH RD
HIGGANUM
CT
064414370
Provider Mailing Phone/Fax
| Phone: | 8603458535 |
| Fax: | 8603458678 |
Suggested EMR
Family Practice EMR