Organization
THOMAS P. GRECO M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GRECO M.D. (PRESIDENT)
(203) 709-3667
Entity
Organization
Contact information
Practice address
133 SCOVILL ST, SUITE 306, WATERBURY, CT 06706-1127
(203) 709-3667
(203) 709-3663
Mailing address
133 SCOVILL ST, SUITE 306, WATERBURY, CT 06706-1127
(203) 709-3667
(203) 709-3663
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
016133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001161330
—
CT
01
—
010016133CT01
ANTHEM BLUE CROSS OF CT
CT
01
—
7139774551
CONNECTICARE
CT
Enumeration date
10/02/2007
Last updated
10/02/2007
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