Search › Connecticut › 225100000X
Jeremy Gagnon
NPI 1326394610 · on the registry since 2012
Practice
- Address
- 50 Beach Rd
Wolcott, CT 06716 - Phone
- (203) 879-8066
- Fax
- (203) 879-8484
- Organisation at this address
- Wolcott View Manor, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut