Connecticut General Life Insurance Company (cglic)

NPI #1366726879 in Celina, Ohio

Provider Information

NPI Number: 1366726879
Entity Type: Organization
Organization Name: Connecticut General Life Insurance Company (cglic)
Primary Specialty: Clinic/Center
Enumeration Date: Oct 3, 2011
Last Updated: Oct 3, 2011

Practice Location

Address: 824 MURLIN AVE
City: Celina
State: Ohio
ZIP Code: 45822-2459
Phone: (937) 485-9401

Authorized Official

Name: MICHAEL SLICE, RPH
Title: VICE PRESIDENT
Phone: (602) 371-2971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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