Liesel L. Gould in North Haven - Adolescent Medicine

Liesel L. Gould - NPI 1720048150

Liesel L. Gould is a Adolescent Medicine in North Haven, Connecticut. Liesel L. Gould practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Liesel L. Gould is 1720048150. The last update date is 2011-12-08.

Liesel L. Gould's current location address is 451 State St, North Haven, Connecticut. You can contact this provider via phone number 2032488888 and fax number 2032488889. The mailing address for Liesel L. Gould is 451 State St, North Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Liesel L. Gould
Address 451 State St, North Haven, Connecticut
Phone Number 2032488888
Fax Number 2032488889
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1720048150
Provider Enumeration Date 2006-03-28
Last Updated Date 2011-12-08

Provider Mailing Address Detail

Address 451 State St
City North Haven
State Connecticut (CT)
Post Code 64733019
Phone Number 2032488888
Fax Number 2032488889

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 35385
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P652646 CT OXFORD
35383 CT CONNECTICARE
1353838 CT --
OQ1356 CT HEALTHNET

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FAQs about Liesel L. Gould

What is the unique identifier code issued to Liesel L. Gould by the Centers for Medicare & Medicaid Services (CMS)?

The Liesel L. Gould has been assigned the NPI (National Provider Identifier) 1720048150. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Liesel L. Gould's facilities are situated?

The facilities of Liesel L. Gould are physically located at the following address: 451 State St, North Haven, CT, 64733019.

What is Liesel L. Gould's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Liesel L. Gould is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.

When was the Liesel L. Gould's 1720048150 issued?

The Liesel L. Gould's 1720048150 was issued on 2006-03-28.

As of what date was the information pertaining to Liesel L. Gould, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Liesel L. Gould, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-12-08.

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