Individual provider · Type 1 NPI

Michael Ian Gazes

Foot & Ankle Surgery Podiatrist · West Haven, CT

NPI number 1962820522 Active

Practice location

950 Campbell Ave, Va Ct Healthcare System - Surgical SERVICE/112
West Haven, CT 06516-2770

Mailing address

330 Orchard Street, Mob 207
New Haven, CT 06511

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103XN006822-1 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Foot & Ankle Surgery Podiatrist Primary 213ES0103X950 (CT)

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About NPI 1962820522

Michael Ian Gazes's National Provider Identifier is 1962820522, issued on Apr 1, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in West Haven, CT. The record was last updated on Jun 23, 2017.