| Connecticut General Life Insurance Company (cglic) | |
|
1601 Chestnut St Tl04b Philadelphia PA 19192-0003 | |
| (215) 761-3939 | |
| Not Available |
| Full Name | Connecticut General Life Insurance Company (cglic) |
|---|---|
| Speciality | Clinic/center |
| Location | 1601 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Michael Slice (VICE PRESIDENT) |
| Authorized Official Contact | 6023712971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut General Life Insurance Company (cglic) 11001 N Black Canyon Hwy Phoenix AZ 85029-4757 Ph: (877) 733-1710 | Connecticut General Life Insurance Company (cglic) 1601 Chestnut St Tl04b Philadelphia PA 19192-0003 Ph: (215) 761-3939 |
| NPI Number | 1053566588 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 08/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053566588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Pennsylvania) | Primary |
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