Organization · Type 2 NPI

Jeffrey Goodsell MD PLLC

Family Medicine Physician · Glastonbury, CT

NPI number 1962202291 Active

Practice location

148 Oak St
Glastonbury, CT 06033-2318

Fax (833) 973-6047

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Jeffrey Goodsell, MDFamily Medicine Physician Glastonbury, CT NPI 1003296914

Other family medicine physician providers in Glastonbury

See all in Glastonbury →

NPI record

NPI: 1962202291
Entity type: Organization (Type 2)
Issued: Mar 17, 2025
Last updated: Aug 13, 2025
Status: Active
Subpart: Yes of Jeffrey Goodsell MD PLLC

Other names

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Fireside Primary Care · doing business as
Fireside Primary Care · doing business as

Authorized official

Dr. Jeffrey Goodsell, MD
Owner
(703) 268-8843

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962202291

Jeffrey Goodsell MD PLLC's National Provider Identifier is 1962202291, issued on Mar 17, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Glastonbury, CT. The record was last updated on Aug 13, 2025.