Individual
ANDREW G GABOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3123
(860) 243-1414
(860) 286-0510
Mailing address
510 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3123
(860) 243-1414
(860) 286-0510
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
033861
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001338616
—
CT
01
—
0384440001
DMERC
—
01
—
200031060
RAILROAD MEDICARE
—
Enumeration date
09/14/2005
Last updated
04/02/2014
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