Individual
DR. JACOB MARSHALL GADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
80 S MAIN ST, WEST HARTFORD, CT 06107-2408
(860) 231-1030
(860) 231-1032
Mailing address
80 S MAIN ST, WEST HARTFORD, CT 06107-2408
(860) 231-1030
(860) 231-1032
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011331
CT
Other
Enumeration date
06/19/2009
Last updated
10/17/2022
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