Mcleod, Gavin X

Mcleod, Gavin X is an individual health care provider with primary practice located at 166 W Broad St Ste 202, Stamford CT 06902-3661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Mcleod, Gavin X can be contacted via phone (203) 353-1427.

Contact Information

Primary practice address
166 W Broad St Ste 202 Stamford CT 06902-3661
Phone: (203) 353-1427
Fax: (203) 276-7597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 033027 Connecticut
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 033027 Connecticut

Profile Details

NPI number 1386616662
LBN Legal business name Mcleod, Gavin X
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 8th, 2024 - about 4 months 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 1386616662 NPPES
Connecticut MEDICAID 001330274

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