Organization
GERIATRIC MEDICINE CONSULTANTS HOME VISIT PRACTICE, LLC
Active
Other names
alison grover md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON GROVER MD (MEMBER)
(860) 232-9741
Entity
Organization
Contact information
Practice address
33 BIRCH RD, WEST HARTFORD, CT 06119-1009
(860) 232-9741
Mailing address
33 BIRCH RD, WEST HARTFORD, CT 06119-1009
(860) 232-9741
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
031718
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001317181
—
CT
01
—
1184896151
GROUP NPI
CT
01
—
1326174574
INDIVIDUAL NPI
CT
Enumeration date
03/30/2008
Last updated
10/05/2008
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