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Organization
GREENWICH ANESTHESIOLOGY ASSOCIATES PAIN
Active
Organization
GREENWICH ANESTHESIOLOGY ASSOCIATES PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CLARK MD (PRESIDENT)
(203) 661-5330
Entity
Organization
Contact information
Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 661-5330
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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