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Individual

PHILIP E GREENSPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 KINGS HWY E, SUITE 204, FAIRFIELD, CT 06825-4867
(203) 610-6300
(203) 610-6347
Mailing address
501 KINGS HWY E, SUITE 204, FAIRFIELD, CT 06825-4867
(203) 610-6300
(203) 610-6347

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043568
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
043568
CT
207RP1001X
Pulmonary Disease Physician
Primary
043568
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
043568
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001435686
CT
Enumeration date
10/18/2006
Last updated
05/31/2013
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