Gould, Liesel L.

Gould, Liesel L. is an sole proprietor health care provider with primary practice located at 451 State St , North Haven CT 06473-3019. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gould, Liesel L. can be contacted via phone (203) 248-8888.

Contact Information

Primary practice address
451 State St North Haven CT 06473-3019
Phone: (203) 248-8888
Fax: (203) 248-8889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 035385 Connecticut

Profile Details

NPI number 1720048150
LBN Legal business name Gould, Liesel L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Dec 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720048150 NPPES
Connecticut Other P652646 OXFORD
Connecticut Other 035383 OXFORD
Connecticut MEDICAID 001353838 OXFORD
Connecticut Other OQ1356 OXFORD

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