Most Relevant Information
Provider Data
| NPI Number: | 1003476367 |
| Provider Name: | GAIL SAMDPERIL EDD |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 000230 |
Most Important Dates
| Enumeration Date: | 06/19/2019 |
| Last Updated: | 06/19/2019 |
Provider Practice Location
398 SOUND BEACH AVE
OLD GREENWICH
CT
068702222
Practice Location Phone/Fax
| Phone: | 2036988869 |
| Fax: |
Provider Mailing Location
398 SOUND BEACH AVE
OLD GREENWICH
CT
068702222
Provider Mailing Phone/Fax
| Phone: | 2036988869 |
| Fax: |