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Individual

MICHAEL GREENSPAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
961 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4702
(203) 331-4731
(203) 331-4747
Mailing address
961 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4702
(203) 331-4731
(203) 331-4747

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0004076
CT
183500000X
Pharmacist
051370-1
NY

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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