Individual
GREGORY ISENBERG
Active
Individual
GREGORY ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035473
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001354737
—
CT
01
—
035473
CONNECTICARE
CT
01
—
729752
AETNA
CT
Enumeration date
08/16/2006
Last updated
12/17/2012
Update your record
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