Individual
MR. MICHAEL GOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17 HILLHOUSE AVE, NEW HAVEN, CT 06511-8965
(203) 432-0076
(203) 432-7289
Mailing address
17 HILLHOUSE AVE, PO BOX 208237, NEW HAVEN, CT 06511-8965
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
002554
CT
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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