LORI L. GREENWALD, MD, PC
Medical Practice at Barnard Ln, Bloomfield, CT

License number
Connecticut 030092
Category
Medical Practice
Type
Specialist
Owner
Name: MS. SUSAN R MICHAUD
Title: OFFICE MANAGER
Phone: (860) 761-6666
Address
Address
1 Barnard Ln SUITE 201, Bloomfield, CT 06002
National Provider ID: 1801079371
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LORI L. GREENWALD, M.D., PC

1 Barnard Ln, Bloomfield, CT 06002

Registration:
Apr 23, 2003
State ID:
0746921
Business type:
Stock
SECRETARYs:
Lori L. Greenwald, M.d (PRESIDENT), 1 Barnard Ln, Bloomfield, CT 06002 (Mailing)
21 Parsons Way, Avon, CT 06001 (Physical),Bruce E. Stein (SECRETARY), 1 Barnard Ln, Bloomfield, CT 06002 (Mailing)
21 Parson's Way, Avon, CT 06001 (Physical)
Agent:
Alice J. Mick, Esq,271 Whitney Ave, New Haven, CT 06511 (Mailing)
100 Ogden St, New Haven, CT 06511 (Physical)

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