Organization
GREENWICH GYNECOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JACOBSON (PRESIDENT)
(203) 869-8353
Entity
Organization
Contact information
Practice address
1 PERRYRIDGE RD, GREENWICH, CT 06830-4607
(203) 869-8353
Mailing address
1 PERRYRIDGE RD, GREENWICH, CT 06830-4607
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22707
CT
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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