Patrick Goncalo
Individual provider Active NPI Technician · West Haven, CT
NPI 1477031995 · NPPES record last updated Aug 6, 2018
Key facts
- NPI
- 1477031995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
950 Campbell Ave
West Haven, CT 06516-2770
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.