Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 01582 | CT |
NPI | 1063548469 |
---|---|
Provider Name | Dr. Thomas Paul Gregson |
First Address | Norwalk, CT 06851-5014 |
Second Address | Norwalk, CT 06851-5014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |