MEDICARE: DR. EDWARD MICHAEL GOSSELIN SR. MD FACEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	25MA05700800	NJ
2	207P00000X	Emergency Medicine Physician	MD450663	PA
3	207P00000X	Emergency Medicine Physician	40130	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821015330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD MICHAEL GOSSELIN SR. MD FACEP

Provider Business Mailing Address
First Line	:	1245 SHERLIN DR
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-1413
Country	:	US
Telephone Number	:	908-229-9268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 SHERLIN DR
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-1413
Country	:	US
Telephone Number	:	908-229-9268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	06/16/2026

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