Individual
JEANNE E GOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114R HIGHLAND AVE, SALEM, MA 01970
(974) 745-3711
(978) 745-6208
Mailing address
114R HIGHLAND AVE, SALEM, MA 01970
(974) 745-3711
(978) 745-6208
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
76708
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103307
—
MA
Enumeration date
06/02/2006
Last updated
01/11/2012
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