Healthcare Provider Details

I. General information

NPI: 1336534130
Provider Name (Legal Business Name): NADIA GILBO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 70
MIDDLETOWN CT
06457-0070
US

IV. Provider business mailing address

PO BOX 70
MIDDLETOWN CT
06457-0070
US

V. Phone/Fax

Practice location:
  • Phone: 860-262-5432
  • Fax: 860-262-5497
Mailing address:
  • Phone: 860-262-5432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License Number62498
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number62498
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: