Organization
DIGESTIVE DISEASE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JAY GREENWALD MD (PRESIDENT)
(860) 442-8553
Entity
Organization
Contact information
Practice address
268 MONTAUK AVE, NEW LONDON, CT 06320-4712
(860) 442-8553
(860) 447-3169
Mailing address
268 MONTAUK AVE, NEW LONDON, CT 06320
(860) 442-8553
(860) 447-3169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021951
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1219518
—
CT
Enumeration date
09/12/2007
Last updated
09/12/2007
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