National Provider Identifier Database

MGDA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MGDA
146 HIGHLAND AVE
WATERBURY, CT06708-2761
Phone: 203-755-7748
Fax: 203-755-7784
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MGDA

NPI Number 1457793291
Legal business name
LBN
MGDA
Authorized official MICHAEL GREENWALD - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/22/2013
Last updated 07/22/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 007481

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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