| Connecticut General Life Insurance Company | |
|
1000 Broadway St Cincinnati OH 45202-1364 | |
| (513) 250-3405 | |
| Not Available |
| Full Name | Connecticut General Life Insurance Company |
|---|---|
| Speciality | Clinic/center |
| Location | 1000 Broadway St, Cincinnati, Ohio |
| Authorized Official Name and Position | Stacey Popko (MEDICAL SENIOR DIRECTOR) |
| Authorized Official Contact | 4127474128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut General Life Insurance Company 25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (877) 733-1710 | Connecticut General Life Insurance Company 1000 Broadway St Cincinnati OH 45202-1364 Ph: (513) 250-3405 |
| NPI Number | 1396192290 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 05/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396192290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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