Individual
DR. SANFORD ALAN GREENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1527 ROUTE 12, GALES FERRY, CT 06335-1800
(860) 464-7253
(860) 464-7404
Mailing address
PO BOX 355, GALES FERRY, CT 06335-0355
(860) 464-7253
(860) 464-7404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001205301
—
CT
Enumeration date
01/16/2006
Last updated
11/30/2012
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