Provider Demographics
NPI:1235151127
Name:GUBITOSI, GINA MARIE (DC)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:GUBITOSI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:D'AURIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:650 COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3200
Mailing Address - Country:US
Mailing Address - Phone:203-699-1100
Mailing Address - Fax:203-272-0338
Practice Address - Street 1:650 COLEMAN RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3200
Practice Address - Country:US
Practice Address - Phone:203-699-1100
Practice Address - Fax:203-272-0338
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT515CT01111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician