Individual
DR. FRED VINCENT GAGER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
291 EDWARDS STREET, NEW HAVEN, CT 06511
(203) 946-8183
(203) 946-6585
Mailing address
291 EDWARDS STREET, NEW HAVEN, CT 06511
(203) 946-8183
(203) 946-6585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016849
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001168491
—
CT
Enumeration date
10/03/2006
Last updated
03/17/2015
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