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Individual

GABRIEL PISSARDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
20 YORK ST # T-209, NEW HAVEN, CT 06510-3220
(203) 688-2464
Mailing address
65 DWIGHT ST, NEW HAVEN, CT 06511-5358
(203) 909-5307

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
08/29/2013
Last updated
08/29/2013
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