Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1882 | CT |
N | 111NI0013X | Independent Medical Examiner | 1882 | CT |
NPI | 1699027326 |
---|---|
Provider Name | Dr. Gail M Cauldwell |
First Address | Waterford, CT 06385-3116 |
Second Address | Waterford, CT 06385-2819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2012 |
Last Update Date | 04/09/2013 |