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KRISTIN S. GILDERSLEEVE M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1902846082
Individual Registrant: KRISTIN S. GILDERSLEEVE M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
23 LIBERTY DR SUITE A HEBRON, CT 06248-1553 US
Tel: 860-228-1119 Fax: --
Tel: 860-228-1119 Fax: --
Contact information for business:
23 LIBERTY DR SUITE A HEBRON, CT 06248-1553 US
Tel: 860-228-1119 Fax: --
Tel: 860-228-1119 Fax: --
Registration Information:
NPI: 1902846082
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CT | 038237 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 001382374 | CT | 05 |
