Individual
EVA LILLIAN GRUNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Mailing address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027537
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000121762001
UHC
—
01
—
00127537900
BLUE CARE FAMILY
—
01
—
010027537CT01
ANTHEM BCBS
—
01
—
4239077
AETNA
—
01
—
6053905
CIGNA
—
01
—
ZP292
OXFORD
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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