Individual
GANNEL JEAN-PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
382 HIGH RIDGE RD, STAMFORD, CT 06905-3019
(203) 219-7896
Mailing address
382 HIGH RIDGE RD, STAMFORD, CT 06905-3019
(203) 219-7896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
12004306
CT
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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