Individual
DR. WILLIAM JUDE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3445 HIGH POINT BLVD, SUITE 202, BETHLEHEM, PA 18017-7809
(610) 691-2282
(610) 691-2410
Mailing address
3445 HIGH POINT BLVD, SUITE 202, BETHLEHEM, PA 18017-3602
(610) 691-2282
(610) 691-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS010000-L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS-0100000-L
PA
208M00000X
Hospitalist Physician
OS010000L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007591588 0002
—
PA
01
—
01196501
CAPITAL BLUE CROSS
PA
01
—
138053
AETNA
PA
01
—
849480
HIGHMARK
PA
01
—
873503
INDEPENDENCE BLUE CROSS
PA
Enumeration date
07/24/2006
Last updated
01/11/2016
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