GOLD COAST PULMONARY AND SLEEP ASSOC NPI 1285816314

NPI Information

GOLD COAST PULMONARY AND SLEEP ASSOC is a gerontology nurse practitioner in New London, CT. GOLD COAST PULMONARY AND SLEEP ASSOC NPI is 1285816314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nurse Practitioner.

The provider's business location address is:

492 MONTAUK AVE
NEW LONDON, CT
ZIP 06320-615
Phone: (860) 443-0305
Fax: (860) 444-0823

The provider's authorized official is Beth Wilcox .
The authorized official title is Practice Administrator and has the following contact phone number (860) 443-0305.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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