Individual provider · NPI-1

Dr. Gary L. Gillen, M.D.

Family Medicine · Morrisville, VT

NPI number1851397236

StatusActive

Last updated in NPPESAug 3, 2023

Details

NPI: 1851397236
Entity type: Individual (NPI-1)
Name: Dr. Gary L. Gillen
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2005
Certification date: Aug 3, 2023
Last updated: Aug 3, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	042.0014151	VT	Yes

Practice location

609 Washington Hwy
Morrisville, VT 05661-8652

Phone 802-888-5639 · Fax 802-888-6040

Mailing address

Po Box 749
Morrisville, VT 05661-0749

Phone 802-851-8619 · Fax 802-851-8716

Other practice locations

1878 Mountain Rd
Stowe, VT 05672-4776

Phone 802-253-4853 · Fax 802-888-1759

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