Individual
DR. LAURA ANN GOGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
(617) 525-6511
Mailing address
47 VALLEY RD, WELLESLEY, MA 02481-1445
(781) 431-2202
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
153621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179426
—
MA
Enumeration date
01/05/2006
Last updated
06/13/2012
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