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Individual

NICOLE GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8085
(860) 679-2329
(860) 679-1494
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8085
(860) 679-2329
(860) 679-1494

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D85949
MD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
067620
CT

Other

Enumeration date
05/20/2014
Last updated
11/07/2022
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