Individual
DR. GARY R GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 GRANBY ST, MANCHESTER, NH 03102
(603) 622-2878
Mailing address
61 GRANBY ST., MANCHESTER, NH 03102
(603) 622-2870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2180
MA
111N00000X
Chiropractor
Primary
5000997
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36525
BCBS
MA
Enumeration date
01/13/2006
Last updated
01/02/2013
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