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Individual

MR. DOUGLAS STEPHEN GOULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, MS

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6580
Mailing address
PO BOX 990831, BOSTON, MA 02199-0831
(617) 734-0372

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
204856
MA

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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