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Individual

DANIEL SCOTT GOTTSCHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4797 MAIN ST, BRIDGEPORT, CT 06606
(203) 374-5013
(203) 374-2377
Mailing address
4749 MAIN STREET, BRIDGEPORT, CT 06606
(203) 374-5013
(203) 374-2377

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
035997
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0013S9977
CT
Enumeration date
09/21/2006
Last updated
03/20/2014
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