Individual
MR. LOUIS GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 GROVE ST APT 2, STAMFORD, CT 06901-1844
(203) 559-1623
Mailing address
101 GROVE ST APT 2, STAMFORD, CT 06901-1844
(203) 559-1623
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
CT
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473509807
TRANSPORTATION SERVICES
CT
01
—
473509807
TRANSPORTATION SERVICES
—
Enumeration date
03/05/2018
Last updated
06/16/2018
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