Provider Demographics
NPI:1679103931
Name:DALBY, GAIL JOAN (SPECIALIST)
Entity type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:JOAN
Last Name:DALBY
Suffix:
Gender:F
Credentials:SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-5426
Mailing Address - Country:US
Mailing Address - Phone:203-641-1593
Mailing Address - Fax:203-643-2300
Practice Address - Street 1:1360 WHITNEY AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-2400
Practice Address - Country:US
Practice Address - Phone:203-248-3000
Practice Address - Fax:203-643-2300
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty