MEDICARE: DAVID L GILES 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
1	2086S0102X	Surgical Critical Care Physician	037102	CT
2	208600000X	Surgery Physician	037102	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700881406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L GILES M.D.

Provider Business Mailing Address
First Line	:	56 MOUNTAIN TERRACE RD
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06107-1533
Country	:	US
Telephone Number	:	860-521-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	CHARLOTTE HUNGERFORD HOSPITAL
Second Line	:	540 LITCHFIELD ROAD
City	:	TORRINGTON
State	:	CT
Zip	:	06790-0988
Country	:	US
Telephone Number	:	860-496-6666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	03/29/2018

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Directions to “ DAVID L GILES M.D.” Practice Location

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