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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIANE GOODWIN, PA-C

Active Sole Proprietor

MS. DIANE GOODWIN, PA-C is a Surgical Physician Assistant healthcare provider located in STAMFORD, Connecticut. NPI 1053467605 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · STAMFORD, CT

Registration Details

NPI Number
1053467605
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2007 (19.513791261103 yrs)
Last Updated
Jan 8, 2016
License
000205 (CT)
Sole Proprietor
Yes

Practice Information

Address
30 SHELBURNE RD
STAMFORD, CT, 069023628
Browse CT providers · Browse ZIP 06902
Phone
2032761000
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in STAMFORD, CT

Name Credential NPI
MRS. REBECCA O'NEILL PHYSICIAN ASSISTANT 1548254774
MR. DANIEL JEW PA 1992857072
TAMMIE EMMONS PA-C 1316084106
MRS. BARBARA C KOHN PA-C 1104947969
MR. TIMOTHY ERIC HANSEN P.A.-C. 1184845000
GREGORY JUDE JENKINS PA 1023205358
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.