Individual
DR. GREGORY M. GALLOUSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 SUMMER STREET, SUITE 105, STAMFORD, CT 06905-5546
(203) 359-2020
(203) 325-4482
Mailing address
999 SUMMER STREET, SUITE 105, STAMFORD, CT 06905-5546
(203) 359-2020
(203) 325-4482
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
044280
CT
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
044280
CT
Other
Enumeration date
06/12/2006
Last updated
04/03/2018
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