Individual
DR. BENNETT S GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5604
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-5604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
048530
CT
207R00000X
Internal Medicine Physician
Primary
048530
CT
Other
Enumeration date
09/15/2006
Last updated
08/01/2019
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