Individual
DR. MICHAEL IAN GAZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, VA CT HEALTHCARE SYSTEM - SURGICAL SERVICE/112, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
330 ORCHARD STREET, MOB 207, NEW HAVEN, CT 06511
(203) 789-3443
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
950
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
N006822-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2014
Last updated
06/23/2017
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