Greenwald, Alan Jay
Greenwald, Alan Jay is an sole proprietor health care provider with primary practice located at 268 Montauk Ave , New London CT 06320-4712. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenwald, Alan Jay can be contacted via phone (860) 442-8553.Contact Information
Primary practice address
268 Montauk Ave
New London CT 06320-4712
Phone: (860) 442-8553
Fax: (860) 447-3169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1219518 | Connecticut |
Profile Details
| NPI number | 1174617419 |
|---|---|
| LBN Legal business name | Greenwald, Alan Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174617419 | NPPES |
| Connecticut | MEDICAID | 1219518 |
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