Individual
MARY MARGARET KANE-BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 HOLLY HILL LN, GREENWICH, CT 06830-6098
(203) 869-6960
(203) 869-5103
Mailing address
75 HOLLY HILL LN, GREENWICH, CT 06830-6098
(203) 869-6960
(203) 869-5103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
035005
CT
207R00000X
Internal Medicine Physician
Primary
035005
CT
Other
Enumeration date
10/19/2006
Last updated
09/03/2014
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