# MED-GEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lori L Greenwald MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932767050
- **Authorized official:** DR. BRUCE STEIN MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 761-6666

## Contact information

- **Practice address:** 1 BARNARD LN, BLOOMFIELD, CT 06002-2481
- **Practice address phone:** (860) 761-6666
- **Practice address fax:** (860) 761-1339
- **Mailing address:** 1 BARNARD LN, BLOOMFIELD, CT 06002-2481
- **Mailing address phone:** (860) 761-6666
- **Mailing address fax:** (860) 761-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 02/11/2021