DR. PAUL GABRIEL GOSSELIN DO NPI 1649216086

NPI Information

NPI: 1649216086
Provider Name: DR. PAUL GABRIEL GOSSELIN, DO
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
147 RIVERSIDE DRIVE
SUITE 1
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-6355
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DR. Paul Gabriel Gosselin, DO is an addiction medicine internal medicine in Augusta, ME. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. DR. Paul Gabriel Gosselin, DO NPI is 1649216086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

147 RIVERSIDE DRIVE
SUITE 1
AUGUSTA, ME
ZIP 04330
Phone: (207) 623-6355
Fax: (207) 622-0853

The enumeration date for this NPI number is 6/22/2006 and was last updated on 8/26/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		1631	MAINE	No
2	207RA0401X	Internal Medicine	Addiction Medicine	1631	MAINE	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030622895	OTHER	MAINE	CHAMPUS
2	MM7824	MEDICARE PIN	MAINE
3	175350000	MEDICAID	MAINE
4	MM7829	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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