Individual
MRS. GAIL FULCO-TANTORSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 MAIN ST, DEPT. OF SURGERY, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
2600 MAIN ST, DEPT. OF SURGERY, BRIDGEPORT, CT 06606-5305
(203) 576-6000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000471
CT
Other
Enumeration date
07/18/2007
Last updated
03/26/2024
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