Individual
GILBERTO RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 COTTAGE GROVE RD, SUITE A, BLOOMFIELD, CT 06002-3119
(860) 242-3933
(860) 242-3301
Mailing address
421 COTTAGE GROVE RD, SUITE A, BLOOMFIELD, CT 06002-3119
(860) 242-3933
(860) 242-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
028497
CT
207R00000X
Internal Medicine Physician
Primary
028497
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001284976
—
CT
01
—
010028497CT04
ANTHEM BLUE SHIELD
CT
Enumeration date
07/26/2006
Last updated
12/14/2017
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