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Contact Information

CORLIS L ARCHER GOODE, MD
1 LAKE ST
BLDG B2ND
NEW BRITAIN, CT06052-1396
 Phone: 860-826-4453
 Fax: 860-826-6219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CORLIS L ARCHER GOODE · (Female)

NPI # 1437152360
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 038810
  • CT Other 2355107 AETNA
  • CT Other 00138810CT01 BCBS & BCFP
  • CT Other 01038810 CIGNA
  • CT Other 1255448155 GHMC GROUP NPI
  • CT Other 0V7374 HEALTH NET
  • CT Other O2096535 OXFORD
Hospital affiliation(s)
  • HOSPITAL OF CENTRAL CONNECTICUT THE - (Acute Care)
    100 GRAND STREET
    NEW BRITAIN, CT 06050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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