Individual
DR. BRUCE E. GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 COVENTRY ST, BURGDORF CLINIC - 2ND FLOOR, HARTFORD, CT 06112-1548
(860) 714-3690
(860) 714-8683
Mailing address
131 COVENTRY ST, BURGDORF CLINIC - 2ND FLOOR, HARTFORD, CT 06112-1548
(860) 714-3690
(860) 714-8683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029114
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001291145CL
—
CT
Enumeration date
08/11/2006
Last updated
07/29/2010
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