Basic Information
| Provider Information | |||||||||
| NPI: | 1285139121 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOSCHE | ||||||||
| FirstName: | EMILY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 MASON FARM RD FL 4 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662533 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 MASON FARM RD FL 4 | ||||||||
| Address2: | |||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275144617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199662533 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2018 | ||||||||
| LastUpdateDate: | 07/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0066194 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 0066194 | CO | N | Allopathic & Osteopathic Physicians | Hospitalist | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 2022-00818 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.