Organization
GOLD COAST PULMONARY AND SLEEP ASSOC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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