Provider Demographics
NPI:1023404985
Name:GOULD, APRYLE MARIE (DO)
Entity type:Individual
Prefix:
First Name:APRYLE
Middle Name:MARIE
Last Name:GOULD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:APRYLE
Other - Middle Name:MARIE
Other - Last Name:KUZNICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:617-726-2000
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-643-8245
Practice Address - Fax:617-643-4085
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0013380207R00000X, 208000000X, 208M00000X
MA295434208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist