Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 046618 | CT |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 046618 | CT |
NPI | 1003078379 |
---|---|
Provider Name | Dr. Yeisid F Gozzo |
First Address | Cheshire, CT 06410-1606 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 17/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1064653 | USA (01) | CT |
26-33542 | AMERICHOICE (01) | CT |
26-33542 | UHC (01) | CT |
290000989CT03 | ANTHEM BCBS CT (01) | CT |
2V9573 | HEALTHNET/COMMERCIAL (01) | CT |
357229 | WELLCARE (01) | CT |
7061719 | AETNA (01) | CT |
98900-5912 | CONNECTICARE (01) | CT |
P00359922 | RR MEDICARE (01) | CT |
P3412840 | OXFORD (01) | CT |