person
Mrs. Gabriella Elizabeth Smith, PA
Medical Physician Assistant in Bloomfield, Connecticut
NPI 1700883709

Gabriella Elizabeth Smith is a Medical Physician Assistant based in Bloomfield, CT and is specialized in Medical. Gabriella Elizabeth Smith practices in Bloomfield, CT and has the professional credentials of PA. The NPI Number for Gabriella Elizabeth Smith is 1700883709 and holds a License No. 000729 (Connecticut).

The current practice location address for Gabriella Elizabeth Smith is 711 Cottage Grove Rd, Bloomfield, CT and can be reached out via phone at 860-242-8756 and via fax at 860-242-3052.

Location: 711 Cottage Grove Rd, Bloomfield, CT, 06002-3060
person
Provider Profile Details
NPI Number
1700883709
Provider Name
Gabriella Elizabeth Smith
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
711 Cottage Grove Rd, Bloomfield, CT, 06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D400341167 01 CT MEDICARE
008057590 05 CT
P01758342 01 CT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
711 Cottage Grove Rd
City
State
Zip
06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
person
Provider Business Mailing Address Details
Address
711 Cottage Grove Rd
City
State
Zip
06002-3060
Phone Number
860-242-8756
Fax Number
860-242-3052
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000729 (Connecticut)
Definition
Definition to come...
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