1811250194

Everything you always wanted to know about GRISWOLD K. MATTHEW M.D. but were afraid to ask.

GRISWOLD K. MATTHEW M.D.

You can also download the this 1811250194 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
GRISWOLD K. MATTHEW M.D.
Gender:
Male
Enumeration date:
2012-06-21
Last update date:
2017-09-25
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for MATTHEW, GRISWOLD in
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Identifiers

identifier description issuer state
PENDING Medicaid none CT
110102574A Medicaid none MA
S400228638 Medicare PIN none MA

Taxonomies

Taxonomy State License Number Primary?
207P00000X Emergency Medicine MA 261757 N

Phone Numbers

Type Number
Practice Location Address Telephone Number 8609720000
Mailing Address Telephone Number (860) 972-0000

Addresses

Type Address City State Postal Country
Mailing Address 80 SEYMOUR STREET HARTFORD HOSPITAL ER DEPT HARTFORD CT 6102 CT
Practice Location Address 80 SEYMOUR STREET HARTFORD HOSPITAL ER DEPT HARTFORD CT 6102 CT

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