Individual provider · Type 1 NPI
Gillian D. Ralls, PA-C
Medical Physician Assistant · New Haven, CT
NPI number
1063539328
Active
Practice location
55 Lock St
New Haven, CT 06511-3603
Fax (203) 432-7828
Mailing address
PO Box 208237, 55 Lock Street
New Haven, CT 06520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 000234 (CT) |
Medical Physician Assistant: Definition to come...
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About NPI 1063539328
Gillian D. Ralls, PA-C's National Provider Identifier is 1063539328, issued on Mar 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Nov 1, 2016.