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Individual

MARTHA M. GREENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106
(860) 246-6589
(860) 560-2849
Mailing address
111 FOUNDERS PLAZA, SUITE 400, EAST HARTFORD, CT 06108
(860) 291-6554
(860) 783-5733

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
029247
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001292474
CT
01
010029247CT01
ANTHEM BC/BS
CT
01
A2516306
OXFORD
CT
Enumeration date
12/16/2005
Last updated
10/27/2008
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