Provider Demographics
NPI:1043288061
Name:WHITMAN, GAIL B (MD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:B
Last Name:WHITMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2890 MAIN ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4980
Mailing Address - Country:US
Mailing Address - Phone:203-375-8200
Mailing Address - Fax:203-375-9424
Practice Address - Street 1:2890 MAIN ST
Practice Address - Street 2:SUITE C
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4980
Practice Address - Country:US
Practice Address - Phone:203-375-8200
Practice Address - Fax:203-375-9424
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT037360207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA14207Medicare UPIN