Dr. Robert Clare Goodwin, M.D.
Specialist in South Windsor, CT. Individual provider (NPI-1).
NPI number1215051164
StatusActive
Last updated in NPPESOct 31, 2013
Details
- NPI
- 1215051164
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Clare Goodwin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2007
- Last updated
- Oct 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 16361 | CT | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 016361 | CT |
Practice location
1726 Ellington RdSouth Windsor, CT 06074-2739
Phone 860-644-9191 · Fax 860-644-9191
Mailing address
1726 Ellington RdSouth Windsor, CT 06074-2739
Phone 860-644-9191 · Fax 860-644-9191
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