1124001995 NPI number — DR. LEO J GOSSELIN JR. M.D.

Table of content: DR. LEO J GOSSELIN JR. M.D. (NPI 1124001995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124001995 NPI number — DR. LEO J GOSSELIN JR. M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOSSELIN
Provider First Name:
LEO
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124001995
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1571 WASHINGTON ST
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
WATERTOWN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13601-9304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-782-1650
Provider Business Mailing Address Fax Number:
315-788-8547

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1571 WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
WATERTOWN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13601-9304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-782-1650
Provider Business Practice Location Address Fax Number:
315-788-8547
Provider Enumeration Date:
11/25/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  216822 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02060373 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".