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Robert P Gould

Social Worker

Behavioral Health & Social Service Providers

409 Fortune Blvd, Milford, MA 01757-1741

PECOS Enrollment

This provider is enrolled in PECOS as ROBERT GOULD.

Based on the most recent information from CMS, provider Robert P Gould is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1245320274
Provider Type
Individual
Full Name
Gould, Robert P
Title
Mr.
Credential
M.S.W.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/13/2006
Last Updated
7/8/2007

Contact Information

Practice Location

409 Fortune Blvd, Milford, MA 01757-1741

(508) 473-7400

Unlisted Fax

Mailing Location

4 Harley Ln, Foxboro, MA 02035-1253

(508) 543-6608

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 102905 Massachusetts

Robert P Gould

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

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