Goundrey, Timothy Edward

Goundrey, Timothy Edward is an individual health care provider with primary practice located at 201 N Mountain Rd Ste 201 , Plainville CT 06062-1848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goundrey, Timothy Edward can be contacted via phone (860) 223-0800.

Contact Information

Primary practice address
201 N Mountain Rd Ste 201 Plainville CT 06062-1848
Phone: (860) 223-0800
Fax: (860) 241-8296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 043222 Connecticut

Profile Details

NPI number 1467426775
LBN Legal business name Goundrey, Timothy Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467426775 NPPES
Connecticut MEDICAID 001432228

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