Individual
ALAN JAY GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
268 MONTAUK AVE, NEW LONDON, CT 06320-4712
(860) 442-8553
(860) 447-3169
Mailing address
268 MONTAUK AVE, NEW LONDON, CT 06320-4712
(860) 442-8553
(860) 447-3169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1219518
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219518
—
CT
Enumeration date
10/03/2006
Last updated
07/08/2007
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