Individual
DR. DOUGLAS J GRUNWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 WHITNEY AVE STE 360, HAMDEN, CT 06518-3602
(203) 281-4463
(203) 287-2930
Mailing address
2200 WHITNEY AVE STE 360, HAMDEN, CT 06518-3602
(203) 281-4463
(203) 287-2930
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
56120
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154616001
—
CT
Enumeration date
06/17/2011
Last updated
07/21/2022
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