Individual
MRS. JULIA C. GOTTHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 688-1734
(203) 688-4740
Mailing address
231 ROCKY MOUNTAIN RD, SOUTHBURY, CT 06488-2727
(203) 313-7406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4205
CT
363AM0700X
Medical Physician Assistant
Primary
4205
CT
Other
Enumeration date
09/08/2018
Last updated
06/05/2019
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