Liesel L. Gould
M.D. | Pediatric Adolescent Medicine | Female
Liesel L. Gould, M.D. is a North Haven, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Liesel L. Gould is
451 State St, North Haven, Connecticut - 06473-3019. She can be contacted on phone at
203-248-8888 and fax number 203-248-8889.
Liesel L. Gould is a sole proprietor of her business.
NPI number (Unique professional ID) for Liesel L. Gould is
1720048150 which was assigned by NPPES on 28 Mar, 2006 and it was last updated on 08 Dec, 2011.
Liesel L. Gould license number is
035385 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Liesel L. Gould 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.
Complete Profile:
Liesel L. Gould basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Liesel L. Gould |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Liesel L. Gould address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 451 State St
North Haven, CT, 06473-3019
United States |
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| Phone Number : | 203-248-8888 |
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| Fax Number : | 203-248-8889 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720048150 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Mar, 2006 |
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| Last Updated On : | 08 Dec, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Liesel L. Gould are as mentioned. Primary taxonomy code for Liesel L. Gould, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 035385 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Liesel L. Gould such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 035383 | Other | CT | CONNECTICARE |
| P652646 | Other | CT | OXFORD |
| 001353838 | MEDICAID | CT | |
| OQ1356 | Other | CT | HEALTHNET |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 451 State St
North Haven, CT, 06473-3019
United States |
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| Phone Number : | 203-248-8888 |
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| Fax Number : | 203-248-8889 |
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Business Location:
Patients can refer following map for directions to
Liesel L. Gould practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.