Individual
DR. LAZAR JOHN GREENFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4888
(860) 679-0131
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4888
(860) 679-0131
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
055487
CT
2084N0400X
Neurology Physician
35076214
OH
2084N0600X
Clinical Neurophysiology Physician
055487
CT
2084N0600X
Clinical Neurophysiology Physician
E-6501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2132034
—
OH
Enumeration date
09/23/2005
Last updated
09/29/2022
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