Individual
CHRISTINE INICE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17 CHURCH HILL RD, TRUMBULL, CT 06611-3116
(203) 696-3550
Mailing address
2800 MAIN STREET, BRIDGEPORT, CT 06606
(203) 576-5346
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
033396
CT
207R00000X
Internal Medicine Physician
Primary
033396
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1333962
CPID
CT
01
—
21690
CONTROL SUBSTANCE
CT
Enumeration date
08/14/2006
Last updated
02/05/2014
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