Individual
DR. GERALD ROY FABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 SPICER HILL RD, LEDYARD, CT 06339-1334
(860) 464-9185
(860) 464-9185
Mailing address
65 SPICER HILL RD, LEDYARD, CT 06339-1334
(860) 464-9185
(860) 464-9185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018707
CT
208600000X
Surgery Physician
4301036751
MI
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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