| NPI | 1598755605 |
|---|---|
| Former Legal Business Name | GRIFFIN FACULTY PRACTICE PLAN, INC |
| Entity Type | Organization |
| Authorized Contact | ADAM DWORKIN Executive Director 203-732-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 034350) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 049045) |
| 208800000X Urology | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003450) | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 282N00000X General Acute Care Hospital | |
| 363AM0700X Physician Assistant, Medical | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2018-02-22 |