Individual
DR. WOLFRAM GOESSLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 785-4119
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
081462
CT
207RG0100X
Gastroenterology Physician
203754
MA
207RX0202X
Medical Oncology Physician
081462
CT
207RX0202X
Medical Oncology Physician
203754
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110005349A
—
MA
01
—
203754
TUFTS HEALTH PLAN
MA
01
—
J24568
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
08/20/2025
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