Individual
ALIAKSANDR GRINGLAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
444 NEPTUNE AVE, APT 9T, BROOKLYN, NY 11224-4456
(347) 753-5896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64117
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
08/28/2019
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