| Gastroenterology And Internal Medicine Of Westport Pc | |
| 
					131 Kings Highway North Westport CT 06880-2439  | |
| (203) 227-0805 | |
| (203) 227-0808 | 
| Full Name | Gastroenterology And Internal Medicine Of Westport Pc | 
|---|---|
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 131 Kings Highway North, Westport, Connecticut | 
| Authorized Official Name and Position | Jerry Lee Greenburg (PRESIDENT) | 
| Authorized Official Contact | 2032270805 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gastroenterology And Internal Medicine Of Westport Pc 131 Kings Highway North Westport CT 06880-2439 Ph: (203) 227-0805  | Gastroenterology And Internal Medicine Of Westport Pc 131 Kings Highway North Westport CT 06880-2439 Ph: (203) 227-0805  | 
| NPI Number | 1447464144 | 
|---|---|
| Provider Enumeration Date | 05/10/2007 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447464144 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 018166 (Connecticut) | Primary | 
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