MATTHEW DAVID GORANSON NPI 1336768365

NPI Information

Matthew David Goranson is a student in an organized health care education training program in Farmington, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew David Goranson NPI is 1336768365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06032-956
Phone: (650) 305-0818

The NPI 1336768365 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/9/2020 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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