Grunwald, Douglas J

Grunwald, Douglas J is an individual health care provider with primary practice located at 2200 Whitney Ave Ste 360 , Hamden CT 06518-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Grunwald, Douglas J can be contacted via phone (203) 281-4463.

Contact Information

Primary practice address
2200 Whitney Ave Ste 360 Hamden CT 06518-3602
Fax: (203) 287-2930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 56120 Connecticut

Profile Details

NPI number 1154616001
LBN Legal business name Grunwald, Douglas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2011
Last updated Jul 21st, 2022 - about 4 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 1154616001 NPPES
Connecticut MEDICAID 1154616001

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