Most Relevant Information
Provider Data
NPI Number: | 1003234048 |
Provider Name: | GREGORY ECKENRODE M.D. |
Entity Type: | Individual |
Taxonomy Code: | 2086S0102X |
Specialty: | Surgery |
License Number: | 288418 |
Most Important Dates
Enumeration Date: | 04/05/2014 |
Last Updated: | 10/31/2022 |
Provider Practice Location
30 STEVENS ST STE D
NORWALK
CT
068503859
Practice Location Phone/Fax
Phone: | 2038522406 |
Fax: | 2038995281 |
Provider Mailing Location
30 STEVENS ST STE D
NORWALK
CT
068503859
Provider Mailing Phone/Fax
Phone: | 2038522406 |
Fax: | 2038995281 |