Organization
GARY J. PRICE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J. PRICE M.D. (PRESIDENT / DIRECTOR)
(203) 453-6635
Entity
Organization
Contact information
Practice address
5 DURHAM RD, BLDG# 1, SUITE 8, GUILFORD, CT 06437-2076
(203) 453-6635
(203) 458-7580
Mailing address
5 DURHAM RD, BLDG# 1, SUITE 8, GUILFORD, CT 06437-2076
(203) 453-6635
(203) 458-7580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023634
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236348
—
CT
01
—
010023634CT02
ANTHEM BCBS
CT
01
—
023634
CONNECTICARE
—
01
—
0982320
AETNA
—
01
—
0Q1278
HEALTHNET
—
Enumeration date
10/03/2007
Last updated
11/12/2008
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