Organization
GOLD COAST PULMONARY AND SLEEP ASSOC
Active
Other names
Nurse Practitioner
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH WILCOX (PRACTICE ADMINISTRATOR)
(860) 443-0305
Entity
Organization
Contact information
Practice address
492 MONTAUK AVE, NEW LONDON, CT 06320-4615
(860) 443-0305
(860) 444-0823
Mailing address
492 MONTAUK AVE, NEW LONDON, CT 06320-4615
(860) 443-0305
(860) 444-0823
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
001296
CT
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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