Individual
THOMAS GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 MANSFIELD AVE, WINDHAM HOSPITAL, WILLIMANTIC, CT 06226-2045
(215) 955-9837
Mailing address
108 WILLIAMS WAY, TOLLAND, CT 06084-2548
(267) 934-6785
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50720
CT
207P00000X
Emergency Medicine Physician
MT195142
PA
Other
Enumeration date
03/28/2009
Last updated
10/22/2012
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