Individual
DR. SEBASTIAN JOHN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 ROBETH LN, WETHERSFIELD, CT 06109-3552
(860) 529-3767
Mailing address
18 ROBETH LN, WETHERSFIELD, CT 06109-3552
(860) 529-3767
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
010471
CT
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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