Organization
MILL HILL MEDICAL CONSULTANTS INC
Active
Parent organization
BREAST CARE SERVICES OF GREENWICH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREAST CARE SERVICES OF GREENWICH
Authorized official
DR. BRUCE MCDONALD M.D. (MANAGER)
(203) 384-3717
Entity
Organization
Contact information
Practice address
77 LAFAYETTE PL, SUITE 302, GREENWICH, CT 06830-5426
(203) 863-4250
(203) 863-4249
Mailing address
77 LAFAYETTE PL, SUITE 302, GREENWICH, CT 06830-5426
(203) 863-4250
(203) 863-4249
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03085
MEDICARE GROUP NUMBER
CT
Enumeration date
08/05/2006
Last updated
05/19/2010
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