Dr. Paul A Gibilisco
Rheumatology
72 Shepard Rd
Norfolk
, Connecticut 06058-1125
Dr. Paul A Gibilisco
Rheumatology
72 Shepard Rd
Norfolk
, Connecticut 06058-1125
(860) 542-5643
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Paul A Gibilisco
- 72 Shepard Rd
- Norfolk, CT
- Zip : 06058-1125
- Phone : (860) 542-5643
Second Address
- Dr. Paul A Gibilisco
- 72 Shepard Rd
- Norfolk, CT
- Zip : 06058-1125
- Phone : (860) 542-5643
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 023213 | CT |
National Provider Identifier
| NPI | 1013040401 |
|---|---|
| Provider Name | Dr. Paul A Gibilisco |
| First Address | Norfolk, CT 06058-1125 |
| Second Address | Norfolk, CT 06058-1125 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D21246 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.