Individual provider · Type 1 NPI

Michael John Gouzoulis

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1780442624 Active

Practice location

333 Cedar St
New Haven, CT 06510-3206

Mailing address

33 Dixwell Ave, Pmb 167
New Haven, CT 06511-3403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780442624

Michael John Gouzoulis's National Provider Identifier is 1780442624, issued on Mar 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on Mar 6, 2024.