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Individual

ALLAN HERBERT GRUNBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 HIFIELD DR, WASHINGTON DEPOT, CT 06794-1114
(860) 868-1882
Mailing address
PO BOX 305, WASHINGTON DEPOT, CT 06794-0305
(860) 868-1882

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
040375
CT

Other

Enumeration date
07/16/2006
Last updated
11/02/2020
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