Provider Demographics
NPI:1336534130
Name:GILBO, NADIA (MD)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:GILBO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-0070
Mailing Address - Country:US
Mailing Address - Phone:860-262-5432
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 70
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-0070
Practice Address - Country:US
Practice Address - Phone:860-262-5432
Practice Address - Fax:860-262-5497
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT624982084F0202X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry