GOLD COAST PULMONARY AND SLEEP ASSOCIATES LLC NPI 1821180621

NPI Information

GOLD COAST PULMONARY AND SLEEP ASSOCIATES, LLC is a pulmonary disease internal medicine in New London, CT. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. GOLD COAST PULMONARY AND SLEEP ASSOCIATES, LLC NPI is 1821180621. The provider is registered as an organization entity type and is a multi-specialty group.

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 Paul Justin Licata .
The authorized official title is Owner/physician and has the following contact phone number (860) 443-0305.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 12/3/2007.

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.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.