O'Brien, Grael

O'Brien, Grael is an individual health care provider with primary practice located at 131 Coventry St Burgdorf Clinic - 2Nd Floor Administration, Hartford CT 06112-1548. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. O'Brien, Grael can be contacted via phone (860) 714-3690.

Contact Information

Primary practice address
131 Coventry St Burgdorf Clinic - 2Nd Floor Administration Hartford CT 06112-1548
Phone: (860) 714-3690
Fax: (860) 714-8683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 039887 Connecticut

Profile Details

NPI number 1366454621
LBN Legal business name O'Brien, Grael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 2nd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366454621 NPPES
Connecticut MEDICAID 001398876-CL
Connecticut Other 10453102

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