Individual
DANIEL R GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
67 S BEDFORD ST STE 202E, BURLINGTON, MA 01803-5141
(781) 744-7000
(781) 744-5352
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-7000
(781) 744-5352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970022267
RAILROAD MEDICARE
MA
Enumeration date
09/20/2006
Last updated
04/15/2021
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