Organization
GASTROENTEROLOGY AND INTERNAL MEDICINE OF WESTPORT PC
Active
Organization
GASTROENTEROLOGY AND INTERNAL MEDICINE OF WESTPORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE GREENBURG MD (PRESIDENT)
(203) 227-0805
Entity
Organization
Contact information
Practice address
131 KINGS HIGHWAY NORTH, WESTPORT, CT 06880-2439
(203) 227-0805
(203) 227-0808
Mailing address
131 KINGS HIGHWAY NORTH, WESTPORT, CT 06880-2439
(203) 227-0805
(203) 227-0808
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
018166
CT
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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