Organization
MED-GEM LLC
Active
Other names
Lori L Greenwald MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE STEIN MD (EXECUTIVE DIRECTOR)
(860) 761-6666
Entity
Organization
Contact information
Practice address
1 BARNARD LN, BLOOMFIELD, CT 06002-2481
(860) 761-6666
(860) 761-1339
Mailing address
1 BARNARD LN, BLOOMFIELD, CT 06002-2481
(860) 761-6666
(860) 761-1339
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
02/11/2021
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