Individual
EDWARD GAISER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(413) 244-5000
Mailing address
474 WHITNEY AVE APT F1, NEW HAVEN, CT 06511-2383
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
12.008242
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
12.008242
CT
Other
Enumeration date
06/19/2019
Last updated
07/31/2019
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