Individual
BRIAN S GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3224
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7437
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008077937
—
CT
01
—
7437
APRN
CT
01
—
CSP.0067398
CSR
CT
Enumeration date
02/06/2015
Last updated
03/07/2023
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