Provider Demographics
NPI:1881276079
Name:GOKOOL, BRYCE SONA
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:SONA
Last Name:GOKOOL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PALMER DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-9372
Mailing Address - Country:US
Mailing Address - Phone:302-561-5764
Mailing Address - Fax:
Practice Address - Street 1:10 PALMER DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-9372
Practice Address - Country:US
Practice Address - Phone:302-561-5764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program