Individual
PERRY GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
369 HOPE ST # 3, PROVIDENCE, RI 02906-1633
(732) 447-7907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12-009898
CT
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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