Greenwich Medical Group
LBN: Greenwich Medical Group
Greenwich Medical Group is an health care organization with primary practice located at 75 Holly Hill Ln , Greenwich CT 06830-6098. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Greenwich Medical Group can be contacted via phone (203) 869-6960, or through Fennell, Gail M via phone (203) 869-6960.
Contact Information
Primary practice address
75 Holly Hill Ln
Greenwich CT 06830-6098
Phone: (203) 869-6960
Fax: (203) 869-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AS8735308 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BL9582493 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AA2470348 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BF4323503 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BV5838959 | Connecticut |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | BN3275369 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | AM6000715 | Connecticut |
Profile Details
| NPI number | 1881781029 |
|---|---|
| LBN Legal business name | Greenwich Medical Group |
| DBA Doing business as | |
| Authorized official | Fennell, Gail M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881781029 | NPPES |
| Connecticut | MEDICAID | 00439394R |
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