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Individual

ANTONY GOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
34 PARK ST OFC 530, NEW HAVEN, CT 06519-1109
(203) 974-7201
Mailing address
34 PARK ST OFC 530, NEW HAVEN, CT 06519-1109
(203) 974-7201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83168
CT
207R00000X
Internal Medicine Physician
MD-55629
IA
2084P0800X
Psychiatry Physician
Primary
83168
CT
2084P0800X
Psychiatry Physician
MD-55629
IA

Other

Enumeration date
05/21/2020
Last updated
12/10/2025
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