NPI 1699355776 · live from the CMS NPI Registry
Gemstonn Boniface Alegre, MD
Family Medicine in Waterford, CT. National Provider Identifier 1699355776, active.
NPI record
| NPI | 1699355776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5 Dayton Rd Ste 102, Waterford, CT 06385 |
| Practice phone | 860-271-2400 |
| Mailing address | 1290 Silas Deane Highway, Hhc - Cvo, Wethersfield, CT 06109 |
| Enumerated | April 12, 2021 |
| Last updated | September 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 79071 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.