Individual
THOMAS M GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, DANA BUILDING - 3RD FLOOR, NEW HAVEN, CT 06519-1304
(203) 688-4744
(203) 688-7232
Mailing address
PO BOX 9805, 300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
031843
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001318436
—
CT
Enumeration date
12/07/2005
Last updated
07/03/2008
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