Organization · Type 2 NPI

Connecticut General Life Insurance Company (cglic)

Clinic/Center · Philadelphia, PA

NPI number 1053566588 Active

Practice location

1601 Chestnut St, TL04B
Philadelphia, PA 19192-0003

Mailing address

11001 N Black Canyon Hwy
Phoenix, AZ 85029-4757

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1053566588

Connecticut General Life Insurance Company (cglic)'s National Provider Identifier is 1053566588, issued on Nov 25, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 14, 2009.