Individual
DR. KRISTIAN BERNARD GOULET
Active
Individual
DR. KRISTIAN BERNARD GOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB, BCH, BAO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
243449
MA
208000000X
Pediatrics Physician
Primary
RS20070321
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS20070321
STATE LICENCE NUMBER
NM
Enumeration date
06/27/2007
Last updated
06/18/2010
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