Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GABRIELLA FORMAN, M.D.
ActiveGABRIELLA FORMAN, M.D. is a Adolescent Medicine healthcare provider located in STAMFORD, Connecticut. NPI 1902484256 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · STAMFORD, CT
Registration Details
- NPI Number
- 1902484256
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2021 (5.3853055862312 yrs)
- Last Updated
- Jul 18, 2024
- License
-
78900 (CT)
Practice Information
- Address
-
260 LONG RIDGE RDSTAMFORD, CT, 069021638Browse CT providers · Browse ZIP 06902
- Phone
- 4756196035
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.