| Doctor Name: | DR. ANDREW PAUL THOMAS GREGORY |
| NPI Number: | 1114961703 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C., FNP-C, R.NCS.T |
| License Number: | |
| Business Practice Address: | 1330 Sullivan Ave South Windsor, CT - 060742713 |
| Business Phone Number: | 8606442437 |
| Business Fax Number: | |
| Mailing Address: | 1330 Sullivan Ave, SOUTH WINDSOR |
| State: | CT |
| Postal Code: | 060742713 |
| Phone Number: | 8606442437 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 06/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |