Individual
DR. KELLY ELEANOR MOULTON GULLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-3919
(585) 461-3614
Mailing address
601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642-0001
(585) 273-3919
(585) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
246762
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55918
CT
Other
Enumeration date
04/10/2008
Last updated
01/16/2017
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