Individual
MRS. GABRIELLA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1581
Mailing address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
(860) 808-1581
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000729
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057590
—
CT
01
—
D400341167
MEDICARE
CT
01
—
P01758342
RAILROAD MEDICARE
CT
Enumeration date
07/05/2005
Last updated
05/20/2025
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