Sebastian John Gallo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

010471 Issued in CT

Practice address

18 Robeth LN
Wethersfield, CT 06109-3552

Phone

(860) 529-3767

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1841579497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROBETH LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093552",
            "telephone_number": "860-529-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ROBETH LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093552",
            "telephone_number": "860-529-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "SEBASTIAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "010471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Flanagan, PT
• Susan H. Fletcher, PA
• Lawrence J. Fortier I, M.D.
• Catrina Franco, LCSW
• Jeanne Fuqua, ND LAC
• Margarita Elsa Garza Salinas
• Chelsey Paholski Gavelek, PA-C
• Joanne Gayeski, LCSW
• Golam Rosul Gazi, M.D.
• Barry Joel Gelber, DDS

• General Practice Physician in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.