Individual
DR. GAVIN X MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 W BROAD ST, STE 202, STAMFORD, CT 06902-3661
(203) 353-1427
(203) 276-7597
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 517-8194
(203) 863-3262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
033027
CT
207RI0200X
Infectious Disease Physician
Primary
033027
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001330274
—
CT
Enumeration date
02/02/2006
Last updated
05/08/2024
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