Individual
DR. PETER GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 NEWARK AVE, SUITE 308, BELLEVILLE, NJ 07109-1185
(973) 450-1155
(973) 751-5741
Mailing address
PO BOX 922, NEW PROVIDENCE, NJ 07974-0922
(973) 450-1155
(973) 751-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA59754
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3514963
CIGNA
—
01
—
5695476
AETNA
—
01
—
58762
AMERIGROUP
—
01
—
60002159
HORIZON NJ HEALTH
NJ
01
—
P2469090
OXFORD
—
Enumeration date
01/08/2007
Last updated
11/06/2013
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