Individual
ELISE KATHLEEN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 358-2850
(860) 358-8698
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3650
(860) 358-6000
(603) 668-0164
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
052083
CT
208600000X
Surgery Physician
19124
NH
2086X0206X
Surgical Oncology Physician
Primary
052083
CT
Other
Enumeration date
05/21/2007
Last updated
08/08/2025
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