Individual
GREGG H. GRINSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 SPENCER ST, WINSTED, CT 06098-1140
(860) 738-6650
Mailing address
PO BOX 30774, HARTFORD, CT 06150-0774
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023060
CT
207R00000X
Internal Medicine Physician
023060
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023060
CONNECTICARE
—
Enumeration date
10/05/2006
Last updated
01/15/2020
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