NPI 1114819570
Justin C Gagnon
Practice location
- Address
- 153 Hazard Ave, Enfield, CT 06082-4592
- Phone
- (860) 731-5522
- Fax
- (860) 731-5536
- Mailing address
- 2 Waterside Xing STE 401, Windsor, CT 06095-1588
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1114819570
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jul 2025
- Record last updated
- 18 Jul 2025
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.