MATTHEW T GROENWALD (Credential# 1491712) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2019. The license status is INACTIVE.
MATTHEW T GROENWALD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059447-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2019. The business address is 5 Perryridge Rd, Greenwich, CT 06830-4608. The current status is inactive.
| Licensee Name | MATTHEW T GROENWALD |
| Credential ID | 1491712 |
| Credential Number | 1.059447-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
5 Perryridge Rd Greenwich CT 06830-4608 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-07-01 |
| Effective Date | 2018-07-01 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1171610 | CSP.0055216 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-26 | 2013-06-26 - 2015-02-28 | INACTIVE |
| Street Address | 5 PERRYRIDGE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-4608 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tushaar V Shrimanker | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Caroline Pham | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Kasandra Erazo | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-04-27 ~ 2023-06-26 |
| June E Jeon | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Umar Hasan | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2023-06-26 |
| Chanjuan Zhong | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2019-06-24 ~ 2022-06-27 |
| Leilei Teng | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2022-06-26 |
| Greenwich Hospital | 5 Perryridge Rd, Greenwich, CT 06830-4608 | General Hospital | 2019-10-01 ~ 2021-09-30 |
| Harry Eswar Subramanian | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Diana M Adams | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kisha A Mitchell Richards | 5 Perryridge Rd Rm, Greenwich, CT 06830-4608 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Alexandra M Friedman | 10 Perryridge Rd, Greenwich, CT 06830-4608 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Sabrina Chateauvert | 2 Perryridge Rd, Greenwich, CT 06830-4608 | Registered Nurse | 2020-02-06 ~ 2020-09-30 |
| Steven D Smith | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Paul B Sygall Md | 5 Perryridge Rd, Room 2-248, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Joshua I Hrabosky | Greenwich Hospital, Greenwich, CT 06830-4608 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Front Porch Properties LLC | 10 Perryridge Rd, Greenwich, CT 06830-4608 | Real Estate Broker | 2017-04-01 ~ 2018-03-31 |
| Sarah S Esaa | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nicole L Nocera | 5 Perryridge Rd Rm 1-3217, Greenwich, CT 06830-4608 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Steven V Buslovich | 38 Lake Avenue, Greenwich, CT 06830-4608 | Physician/surgeon | 2014-04-01 ~ 2015-03-31 |
| Find all Licenses in zip 06830-4608 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Junior League of Greenwich Conn Inc. | 231 East Putnam Ave., Greenwich, CT 06830 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Michelle Yoo | 35 Putnam Green, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-01-31 |
| Michele S Bergen | Greenwich Medical Building, Greenwich, CT 06830 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Black Forest Pastry | 52 Lewis Street, Greenwich, CT 06830 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Maurasaca Pallchisaca Gloria Veronica | 103 Greenwich Ave, Greenwich, CT 06830 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Deborah B Huffard | 107 Maple Ave, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Joann H Alexander | 157 Stanwich Road, Greenwich, CT 06830 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Dandan Tu | 24 Byfield Ln, Greenwich, CT 06830 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mohamed Akli Zetchi | 2 Perryridge Road, Greenwich, CT 06830 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gateway Classical Music Society Inc | 292 Stanwich Road, Greenwich, CT 06830 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Find all Licenses in zip 06830 | |||
| City | GREENWICH |
| Zip Code | 06830 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + GREENWICH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew Sabatino | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-08-07 ~ 2021-06-30 |
| Matthew Ringer | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew Factor | 929 Dublin St, New Orleans, LA 70118-1125 | Resident Physician | 2016-08-01 ~ 2021-06-30 |
| Matthew P O'brien | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Matthew R. Austin | 20 York St, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Matthew Reber Austin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Matthew Klein | 675 Townsend Ave Unit 140, New Haven, CT 06512-3178 | Resident Physician | 2016-06-30 ~ 2020-06-30 |
| Eric Matthew Gershon | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew Kenneth Harris | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Matthew S Lampel | 64 Robbins St # 3304, Waterbury, CT 06708-2613 | Resident Physician | 2018-06-11 ~ 2021-06-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).