NPI 1841365681 · live from the CMS NPI Registry
Glenn Stanton Gart, MD
Dermatology in Bristol, CT. National Provider Identifier 1841365681, active.
NPI record
| NPI | 1841365681 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 72 Pine St Unit 3, Bristol, CT 06010 |
| Practice phone | 860-589-1405 |
| Mailing address | 255 North Main Street, Bristol, CT 06010 |
| Enumerated | November 21, 2006 |
| Last updated | September 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | CT033528 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.