Individual
PATRICK GONCALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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