Individual
ALYSSA GILLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
77 LAFAYETTE PL STE 302, GREENWICH, CT 06830-5426
(203) 863-4250
(203) 863-4249
Mailing address
PO BOX 415126, BOSTON, MA 02241-5126
(203) 863-4250
(203) 863-4249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
056739
CT
208600000X
Surgery Physician
252073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090923000071
FIDELIS
—
01
—
25207301
HEALTHFIRST
—
05
—
390200000X
—
NY
01
—
GA2073
ATLANTIS
—
01
—
P4055272
OXFORD
—
Enumeration date
09/18/2007
Last updated
11/13/2017
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