Connecticut General Life Insurance Company
Clinic/Center in Phoenix, AZ. Organization (NPI-2).
NPI number1669922324
StatusActive
Last updated in NPPESDec 6, 2016
Details
- NPI
- 1669922324
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut General Life Insurance Company
- Organization subpart
- No
- Enumeration date
- Oct 6, 2016
- Last updated
- Dec 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Alegis Care New Jersey PC (Other Name)
Practice location
25500 N Norterra DrPhoenix, AZ 85085-8200
Phone 877-733-1710 · Fax 623-277-1091
Mailing address
25500 N Norterra DrPhoenix, AZ 85085-8200
Phone 877-733-1710 · Fax 623-277-1091
Authorized official
Dirk Wales
Ceo
6232771170
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