Most Relevant Information
Provider Data
| NPI Number: | 1003653270 |
| Provider Name: | CHELSEA GOULDSBROUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 261QM0801X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/13/2024 |
| Last Updated: | 07/13/2024 |
Provider Practice Location
63 E CENTER ST
MANCHESTER
CT
060405221
Practice Location Phone/Fax
| Phone: | 8602811133 |
| Fax: |
Provider Mailing Location
19 ACADEMY ST
MANCHESTER
CT
060404411
Provider Mailing Phone/Fax
| Phone: | 8605938752 |
| Fax: |