Connecticut General Life Insurance Company (cglic)

NPI #1568799278 in Bath, Maine

Provider Information

NPI Number: 1568799278
Entity Type: Organization
Organization Name: Connecticut General Life Insurance Company (cglic)
Primary Specialty: Clinic/Center
Enumeration Date: Nov 17, 2009
Last Updated: Feb 24, 2010

Practice Location

Address: 700 WASHINGTON ST
City: Bath
State: Maine
ZIP Code: 04530-2574
Phone: (207) 442-4939

Authorized Official

Name: MR. 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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