Individual
JEFFREY S GELWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 WESTERN BLVD, SUITE A, GLASTONBURY, CT 06033-4305
(860) 657-1920
(860) 657-1925
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
024826
CT
207RG0100X
Gastroenterology Physician
Primary
024826
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001248261
—
CT
Enumeration date
09/12/2006
Last updated
04/29/2011
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