Individual
DR. ANDREA LEIGH GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4212
(860) 714-8080
Mailing address
99 WOODLAND ST, HARTFORD, CT 06105-1207
(860) 714-4129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63741
CT
390200000X
Student in an Organized Health Care Education/Training Program
238113450
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
04/08/2016
Last updated
07/06/2021
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