Individual
GREGORY ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 FARMINGTON AVE, HARTFORD, CT 06105-3050
(860) 527-7255
(860) 278-3867
Mailing address
576 FARMINGTON AVE, HARTFORD, CT 06105
(860) 527-7255
(860) 278-3867
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
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