Individual
DR. ULYSSES KING GOMEZ GOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 502-6502
Mailing address
367 ORANGE ST APT 207, NEW HAVEN, CT 06511-6454
(330) 942-5807
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
69536
CT
390200000X
Student in an Organized Health Care Education/Training Program
57.247559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69536
—
CT
Enumeration date
06/25/2019
Last updated
06/16/2022
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