Individual
MARK NICHOLSON GILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 MAIN ST, UNIONVILLE, CT 06085-1131
(860) 673-6124
Mailing address
101 MAIN ST, UNIONVILLE, CT 06085-1131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55457
CT
Other
Enumeration date
03/27/2013
Last updated
12/19/2019
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