Individual
DR. BRADFORD GILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5127
(401) 444-3056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70638
CT
207R00000X
Internal Medicine Physician
LP04281
RI
Other
Enumeration date
06/05/2018
Last updated
11/08/2023
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