Active NPIIndividual provider

Abigail Goodale, PA-C

Physician Assistant in New London, Connecticut

NPI Number1609246032
Practice location
365 Montauk Ave, New London, CT 06320-4769
Fax
—
Last updated
January 16, 2020

Abigail Goodale is a Physician Assistant based in New London, CT. Abigail Goodale practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Abigail Goodale is 1609246032 and holds a License No. mpa.2427 tl (SC). The current practice location address for Abigail Goodale is 365 Montauk Ave, New London, CT 06320-4769 and can be reached out via phone at 860-442-0711.

Provider Profile Details

NPI Number
1609246032
Provider Name
Abigail Goodale
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
365 Montauk Ave, New London, CT 06320-4769
Phone Number
860-442-0711
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Abigail Airoldi, PA-C (Former Name)
Provider Enumeration Date
September 28, 2015
Last Update Date
January 16, 2020
Certification Date
January 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
365 Montauk Ave
New London, CT 06320-4769
Zip
06320-4769
Phone Number
860-442-0711
New London, CT 06320Get directions →

Provider Business Mailing Address Details

Address
20 York Street, Cb-329
New Haven, CT 06510-3220
City
New Haven
State
CT
Zip
06510-3220
Phone Number
203-688-1734
Fax Number
203-688-9638

License Information

License Number (1)
mpa.2427 tl
License State (1)
SC
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
4685
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Abigail Goodale, PA-C?

The NPI number of Abigail Goodale, PA-C is 1609246032. It was assigned on September 28, 2015 and is currently active in the NPPES registry.

What is the specialty of Abigail Goodale, PA-C?

Abigail Goodale, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in SC under license number mpa.2427 tl.

Where does Abigail Goodale, PA-C practice?

The practice location is 365 Montauk Ave, New London, CT 06320-4769. The office can be reached at 860-442-0711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609246032 directly on the NPPES registry website.

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