Individual
RACHEL GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
85 RETREAT AVE, HARTFORD, CT 06106-2555
(860) 972-3127
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
(860) 972-9093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5664
CT
363A00000X
Physician Assistant
PA-1503
ID
Other
Enumeration date
07/18/2017
Last updated
06/29/2022
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