Gelwan, Jeffrey S

Gelwan, Jeffrey S is an individual health care provider with primary practice located at 300 Western Blvd Suite A, Glastonbury CT 06033-4305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gelwan, Jeffrey S can be contacted via phone (860) 657-1920.

Contact Information

Primary practice address
300 Western Blvd Suite A Glastonbury CT 06033-4305
Fax: (860) 657-1925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024826 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 024826 Connecticut

Profile Details

NPI number 1619071230
LBN Legal business name Gelwan, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619071230 NPPES
Connecticut MEDICAID 001248261

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