Individual
JERRY LEE GREENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 KINGS HIGHWAY NORTH, WESTPORT, CT 06880-2429
(203) 227-0805
(203) 227-0808
Mailing address
131 KINGS HIGHWAY NORTH, WESTPORT, CT 06880-2429
(203) 227-0805
(203) 227-0808
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
018166
CT
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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