NPI 1841579497

Sebastian John Gallo, MD

Practitioner General Practice Physician Wethersfield, CT

Practice location

Address: 18 Robeth Ln, Wethersfield, CT 06109-3552
Phone: (860) 529-3767

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 010471 (CT)

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Registry record

NPI: 1841579497
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2011
Record last updated: 15 Aug 2011

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.