Individual
MARIA GABRIELA GARCIA VASSALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19078
PR
2084P0802X
Addiction Psychiatry Physician
Primary
055407
CT
Other
Enumeration date
07/11/2011
Last updated
03/17/2018
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