Individual
MR. STEPHEN GOBEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
627 RANDALL RD, LUDLOW, MA 01056-1085
(413) 858-0119
(413) 589-0912
Mailing address
627 RANDALL RD, LUDLOW, MA 01056-1085
(413) 858-0119
(413) 589-0912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001782
CT
363AM0700X
Medical Physician Assistant
Primary
2143
MA
Other
Enumeration date
10/03/2006
Last updated
06/21/2022
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