Individual
MICHAEL E GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06511
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000531
CT
Other
Enumeration date
12/18/2006
Last updated
02/13/2012
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