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NPI Code Detail

MEDICARE: DR. MONIQUE FRANCINE GAGNON M.D.

MEDICARE: DR. MONIQUE FRANCINE GAGNON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician033023CT

General Provider Information

NPI Number : 1740255785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONIQUE FRANCINE GAGNON M.D.
Provider Business Mailing Address
First Line : 126 MORGAN ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5431
Country : US
Telephone Number : 203-327-1055
Fax Number : 203-323-6177
Provider Business Practice Location Address
First Line : 126 MORGAN ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5431
Country : US
Telephone Number : 203-327-1055
Fax Number : 203-323-6177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 02/24/2020

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