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Individual

DR. GAIL WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
48 MONROE TPKE, TRUMBULL, CT 06611-1341
(203) 459-6512
Mailing address
10 COOLRIDGE RD, MILFORD, CT 06460-7620

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
030574
CT
207P00000X
Emergency Medicine Physician
124349
NY
207P00000X
Emergency Medicine Physician
25MA05494300
NJ
207Q00000X
Family Medicine Physician
25MA05494300
NJ
207R00000X
Internal Medicine Physician
Primary
030574
CT
207R00000X
Internal Medicine Physician
124349
NY

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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