Individual
DR. BRUCE JAY GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 BUTTONWOOD ST, APT 1020, PHILADELPHIA, PA 19130-3945
(215) 253-3001
Mailing address
1801 BUTTONWOOD ST, APT 1020, PHILADELPHIA, PA 19130-3945
(215) 253-3001
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MD026686L
PA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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