Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 008349 | CT |
NPI | 1073727053 |
---|---|
Provider Name | Dr. Eman J. Traynor |
First Address | Greenwich, CT 06831-5205 |
Second Address | Greenwich, CT 06831-5205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 10/03/2021 |