Individual
MISS GABRIELLE S PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23 SHERMAN ST STE 101, FAIRFIELD, CT 06824-5868
(203) 303-7170
Mailing address
23 SHERMAN ST STE 101, FAIRFIELD, CT 06824-5868
(203) 303-7170
(203) 336-0156
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001811
CT
Other
Enumeration date
02/23/2007
Last updated
03/06/2023
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