Individual
GAIL FASCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 E MAIN ST, CLINTON, CT 06413-2112
(860) 664-0787
(860) 664-1982
Mailing address
635 MAIN ST, ATTN CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E40358
CT
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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