| David H. Burchenal Llc | |
|
49 Lake Ave Suite 2 Greenwich CT 06830-4501 | |
| (203) 869-5710 | |
| (203) 869-7693 |
| Full Name | David H. Burchenal Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 49 Lake Ave, Greenwich, Connecticut |
| Authorized Official Name and Position | David Holland Burchenal (OWNER) |
| Authorized Official Contact | 8605353245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David H. Burchenal Llc 213 Elm St Stonington CT 06378-1165 Ph: (860) 535-3245 | David H. Burchenal Llc 49 Lake Ave Suite 2 Greenwich CT 06830-4501 Ph: (203) 869-5710 |
| NPI Number | 1528137445 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528137445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 032153 (Connecticut) | Primary |
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