ROBERT C. GOODWIN MD LLC
Ambulatory Health at Ellington Rd, Wapping, CT

License number
Connecticut 16361
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. ROBERT C. GOODWIN M.D.
Title: MANAGING MEMBER
Phone: (860) 644-9191
Address
Address
1726 Ellington Rd, Wapping, CT 06074
National Provider ID: 1366623951
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT C. GOODWIN, MD, LLC

1726 Ellington Rd, South Windsor, CT 06074

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
ROBERT C. GOODWIN, M.D.,P.C<br>Robert C Goodwin MD LLC<br>Robert C Goodwin MD
Registration:
Jul 10, 2001
Phone:
(860) 644-9191 (Phone)
State ID:
0686255
Business type:
Domestic Limited Liability Company
Office Managers:
Robert C. Goodwin  Managing (MEMBER), 1726 Ellington Rd, South Windsor, CT 06074 (Mailing)
159 Trumbull Ln, South Windsor, CT 06074 (Physical),Robert C. Goodwin (Managing Member, Medical Doctor, Member, Psychiatry),Denise Rioux (Office Manager)
Categories:
Physicians & Surgeons, Psychiatry Physicians

Ambulatory Health licenses in Connecticut


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