Individual
CURT WILSON GRAMLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(401) 348-3792
Mailing address
PO BOX 418474, BOSTON, MA 02241-8474
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11700
RI
207L00000X
Anesthesiology Physician
Primary
43224
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003128643
MEDICAID
CT
01
—
050373266
TRICARE
—
05
—
7057582
—
RI
Enumeration date
01/30/2006
Last updated
03/28/2012
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