Individual
DR. GAIL LOUISE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
168 RTE. 171, S WOODSTOCK, CT 06267-0366
(860) 928-7775
(860) 928-1397
Mailing address
PO BOX 366, S WOODSTOCK, CT 06267-0366
(860) 928-7775
(860) 928-1397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032613
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010032613CT01
ANTHEM BCBS
CT
05
—
1326132
—
CT
01
—
30169
HEALTHNET
CT
Enumeration date
07/31/2006
Last updated
03/14/2011
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