Individual
DR. JOHN A GOSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-4051
Mailing address
491 MAIN ST, ATHOL, MA 01331-1846
(978) 249-4051
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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