Organization
COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CONNECTICUT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D GRAHLING MD (FOUNDER / SOLE PRACTITIONER)
(860) 793-0500
Entity
Organization
Contact information
Practice address
440 NEW BRITAIN AVE, PLAINVILLE, CT 06062-2016
(860) 793-0500
(860) 793-1116
Mailing address
440 NEW BRITAIN AVE, PLAINVILLE, CT 06062-2016
(860) 793-0500
(860) 793-1116
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
045053
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010045053CT01
BCBS PROVIDER NUMBER- PLAINVILLE
CT
01
—
010045054CT02
BCBS PROVIDER NUMBER-SOUTHINGTON
CT
01
—
1770776023
MEDICARE NPI
CT
Enumeration date
08/21/2007
Last updated
01/29/2010
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