Individual
MRS. GILLIAN D RALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LOCK ST, NEW HAVEN, CT 06511-3603
(203) 432-7978
(203) 432-7828
Mailing address
PO BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520
(203) 432-0312
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000234
CT
Other
Enumeration date
03/23/2007
Last updated
11/01/2016
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