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Individual

MISS MERI LEE GREENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
168 BOSTON POST RD, SUITE 10, MADISON, CT 06443-2163
(203) 245-9293
(203) 245-2522
Mailing address
73 MASONS ISLAND RD, MYSTIC, CT 06355-2949
(860) 536-7443

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004132
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080004132CT07
ANTHEM
CT
01
1544151
FIRST HEALTH/COVENTRY
CT
01
2V8207
HEALTHNET
CT
01
4229444
ORTHONET FOR CIGNA
CT
01
4258761
AETNA
01
P819154
OXFORD
CT
Enumeration date
12/29/2006
Last updated
03/25/2008
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