| Greenwich Medical Group | |
|
75 Holly Hill Ln Greenwich CT 06830-6098 | |
| (203) 869-6960 | |
| (203) 869-5103 |
| Full Name | Greenwich Medical Group |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 75 Holly Hill Ln, Greenwich, Connecticut |
| Authorized Official Name and Position | Gail M Fennell (MANAGING PARTNER) |
| Authorized Official Contact | 2038696960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwich Medical Group 75 Holly Hill Ln Greenwich CT 06830-6098 Ph: (203) 869-6960 | Greenwich Medical Group 75 Holly Hill Ln Greenwich CT 06830-6098 Ph: (203) 869-6960 |
| NPI Number | 1881781029 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881781029 | NPI | - | NPPES |
| 00439394R | Medicaid | CT |
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