Lee, Gisela T
Lee, Gisela T is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Gisela T can be contacted via phone (860) 892-7042.Contact Information
Primary practice address
47 Town St
Norwich CT 06360-2315
Phone: (860) 892-7042
Fax: (860) 892-7043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17712 | Connecticut |
Profile Details
| NPI number | 1124044805 |
|---|---|
| LBN Legal business name | Lee, Gisela T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 14th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124044805 | NPPES |
| Connecticut | MEDICAID | 001177121 |
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