Individual
JOAN M GILDEA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
126 MORGAN ST, STAMFORD, CT 06905-5431
(203) 327-1055
Mailing address
126 MORGAN ST, STAMFORD, CT 06905-5431
(203) 327-1055
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001946
CT
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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