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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