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Contact Information

GREENWICH MEDICAL GROUP
75 HOLLY HILL LN
GREENWICH, CT06830-6098
 Phone: 203-869-6960
 Fax: 203-869-5103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREENWICH MEDICAL GROUP · (Female)

NPI Number 1881781029
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # AA2470348
  • CT License # AM6000715
  • CT License # AS8735308
  • CT License # BF4323503
  • CT License # BL9582493
  • CT License # BN3275369
  • CT License # BV5838959
  • CT Medicaid 00439394R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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