Provider Information for 1841286994
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Dr. LAZAR JOHN GREENFIELD Jr. M.D., Ph.D.
Sex: Male
NPI: 1841286994
Last Updated: 2022-09-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1841286994 | ||||||||||||||||||||
| Enumeration Date | 2005-09-23 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | UCONN MEDICAL GROUP 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-4888 | Fax:860-679-0131 | ||||||||||||||||||||
| Primary Practice Address | UCONN MEDICAL GROUP 263 FARMINGTON AVE FARMINGTON, CT 06030-0001 United States Phone: 860-679-4888 | Fax:860-679-0131 | ||||||||||||||||||||
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