Individual
ALEXIS M GASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001922
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290001922CT02
ANTHEM BCBS
CT
Enumeration date
05/30/2008
Last updated
06/11/2009
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