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Individual

LORI L GREENWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 BARNARD LN, SUITE 201, BLOOMFIELD, CT 06002-2413
(860) 761-6666
(860) 761-2502
Mailing address
1 BARNARD LN, SUITE 201, BLOOMFIELD, CT 06002-2413
(860) 761-6666
(860) 761-2502

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030092
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001300920-03
BLUECARE FAMILY PLAN
CT
01
010030092CT01
ANTHEM BLUE CROSS BLUE SH
CT
01
0331765004
CIGNA HEALTHCARE
CT
01
2V3352
HEALTHNET
CT
01
3224455
AETNA
CT
01
707767
CONNECTICARE
CT
01
HAS612
OXFORD
CT
Enumeration date
06/23/2006
Last updated
12/07/2007
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