Individual
DR. GREGORY MICHAEL OUELLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
874 HOWARD AVE, NEW HAVEN, CT 06519
(203) 688-9423
(203) 688-4209
Mailing address
874 HOWARD AVE, NEW HAVEN, CT 06519-1106
(203) 688-9423
(203) 688-4209
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
54320
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
07/11/2018
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