Individual
GEMSTONN BONIFACE ALEGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 DAYTON RD STE 102, WATERFORD, CT 06385-4279
(860) 271-2400
Mailing address
1290 SILAS DEANE HIGHWAY, HHC - CVO, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79071
CT
Other
Enumeration date
04/12/2021
Last updated
09/11/2024
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