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DR. PAUL A GIBILISCO MD

Rheumatology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1013040401

Individual Registrant:
DR. PAUL A GIBILISCO MD
Gender: M
Sole Proprietor

Location and contact information for practice:
72 SHEPARD RD  NORFOLK, CT 06058-1125 US
Tel: 860-542-5643  Fax: --

Contact information for business:
72 SHEPARD RD  NORFOLK, CT 06058-1125 US
Tel: 860-542-5643  Fax: --

Registration Information:
NPI: 1013040401
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RR0500XAllopathic & Osteopathic Physicians
Internal Medicine
Rheumatology
CT023213

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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