Individual
GLENN M. RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 CORPORATE DR, SUITE 2-1, TRUMBULL, CT 06611-1351
(203) 452-2446
(203) 452-2424
Mailing address
15 CORPORATE DR, SUITE 2-1, TRUMBULL, CT 06611-1351
(203) 452-2446
(203) 452-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
032294
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
032294
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001322940
—
CT
01
—
010032294CT03
ANTHEM BLUE CROSS BLUE SH
CT
01
—
0284725
CIGNA HEALTHCARE OF CT
CT
01
—
061394494
UNITED HEALTHCARE
CT
01
—
110086147
RAILROAD MEDICARE PTAN
CT
01
—
492617
AETNA
CT
01
—
532294
CONNECTICARE, INC & AFFIL
CT
01
—
CU8879
HEALTHNET
CO
01
—
ZP329
OXFORD HEALTH PLANS
CT
Enumeration date
07/18/2006
Last updated
03/08/2016
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