Dr. Andrea L Gillis, DO
Family Medicine in Hartford, Connecticut
1891159596- Practice location
- 99 Woodland St, Hartford, CT 06105-1207
- Phone
- 860-714-4212
- Fax
- 860-714-8080
- Last updated
- July 6, 2021
Andrea Leigh Gillis is a Family Medicine based in Hartford, CT. Andrea Leigh Gillis practices in Hartford, CT and has the professional credentials of DO. The NPI Number for Andrea Leigh Gillis is 1891159596 and holds a License No. 238113450 (CT). The current practice location address for Andrea Leigh Gillis is 99 Woodland St, Hartford, CT 06105-1207 and can be reached out via phone at 860-714-4212 and via fax at 860-714-8080.
Provider Profile Details
- NPI Number
- 1891159596
- Provider Name
- Andrea Leigh Gillis
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 99 Woodland St, Hartford, CT 06105-1207
- Phone Number
- 860-714-4212
- Fax Number
- 860-714-8080
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Other Names
- Dr. Andrea Leigh Dedonato, DO (Former Name)
- Provider Enumeration Date
- April 8, 2016
- Last Update Date
- July 6, 2021
- Certification Date
- July 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Woodland St
Hartford, CT 06105-1207 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-1207
- Phone Number
- 860-714-4212
- Fax Number
- 860-714-8080
Provider Business Mailing Address Details
- Address
- 99 Woodland St
Hartford, CT 06105-1207 - City
- Hartford
- State
- CT
- Zip
- 06105-1207
- Phone Number
- 860-714-4129
License Information
- License State (1)
- CT
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 238113450
- License State (2)
- CT
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 63741
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Andrea L Gillis, DO?
The NPI number of Dr. Andrea L Gillis, DO is 1891159596. It was assigned on April 8, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Andrea L Gillis, DO?
Dr. Andrea L Gillis, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 238113450.
Where does Dr. Andrea L Gillis, DO practice?
The practice location is 99 Woodland St, Hartford, CT 06105-1207. The office can be reached at 860-714-4212 (phone) or 860-714-8080 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891159596 directly on the NPPES registry website.