Active NPIIndividual provider

Mary M Kane-Brock, MD

Internal Medicine in Greenwich, Connecticut

NPI Number1245312305
Practice location
75 Holly Hill Ln, Greenwich, CT 06830-6098
Fax
203-869-5103
Last updated
September 3, 2014

Mary Margaret Kane-Brock is an Internal Medicine based in Greenwich, CT. Mary Margaret Kane-Brock practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Mary Margaret Kane-Brock is 1245312305 and holds a License No. 035005 (CT). The current practice location address for Mary Margaret Kane-Brock is 75 Holly Hill Ln, Greenwich, CT 06830-6098 and can be reached out via phone at 203-869-6960 and via fax at 203-869-5103.

Provider Profile Details

NPI Number
1245312305
Provider Name
Mary Margaret Kane-Brock
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
75 Holly Hill Ln, Greenwich, CT 06830-6098
Phone Number
203-869-6960
Fax Number
203-869-5103
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
October 19, 2006
Last Update Date
September 3, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Holly Hill Ln
Greenwich, CT 06830-6098
Zip
06830-6098
Phone Number
203-869-6960
Fax Number
203-869-5103
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
75 Holly Hill Ln
Greenwich, CT 06830-6098
City
Greenwich
State
CT
Zip
06830-6098
Phone Number
203-869-6960
Fax Number
203-869-5103

License Information

License Number (1)
035005
License State (1)
CT
Taxonomy (1)
Specialist · 174400000X
License Number (2)
035005
License State (2)
CT
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary M Kane-Brock, MD?

The NPI number of Mary M Kane-Brock, MD is 1245312305. It was assigned on October 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary M Kane-Brock, MD?

Mary M Kane-Brock, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in CT under license number 035005.

Where does Mary M Kane-Brock, MD practice?

The practice location is 75 Holly Hill Ln, Greenwich, CT 06830-6098. The office can be reached at 203-869-6960 (phone) or 203-869-5103 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245312305 directly on the NPPES registry website.

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