Whalio Doctors

NPI 1023211653

Cornelia Lucia Gallo, MD

Practitioner Child & Adolescent Psychiatry Physician Westport, CT

Practice location

Address
19 Compo Rd S, Westport, CT 06880-4319
Phone
(203) 226-3134
Fax
(203) 259-4916
Mailing address
8 Barbara Pl, Westport, CT 06880-4164

Registered specialties

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 034522 (CT)

Registry record

NPI
1023211653
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.