CAROLINE PHAM (Credential# 2035599) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2020. The license expiration date date is June 26, 2023. The license status is ACTIVE.
CAROLINE PHAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065232-RES. The credential type is resident physician. The effective date is June 22, 2020. The expiration date is June 26, 2023. The business address is 5 Perryridge Rd, Greenwich, CT 06830-4608. The current status is active.
| Licensee Name | CAROLINE PHAM |
| Credential ID | 2035599 |
| Credential Number | 1.065232-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
5 Perryridge Rd Greenwich CT 06830-4608 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-22 |
| Effective Date | 2020-06-22 |
| Expiration Date | 2023-06-26 |
| Refresh Date | 2020-04-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2042470 | CSP.0073901 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-01 | 2020-06-01 - 2021-02-28 | ACTIVE |
| 2046073 | CSP.0074074 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-01 | 2020-06-01 - 2021-02-28 | 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 |
| 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 |
| Blair A Jenkins | 5 Perryridge Rd, Greenwich, CT 06830-4608 | Resident Physician | 2020-06-22 ~ 2021-06-28 |
| 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 |
|---|---|---|---|
| Caroline Adelman | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2012-06-07 ~ 2020-06-30 |
| Caroline A Walker | 360 State St Apt 2110, New Haven, CT 06510-3620 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Caroline Duffy Gordon | 78 Olive St Apt 325, New Haven, CT 06511-6986 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Caroline Larosa | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Victoria I. Pham | 59 Hastings Ln, Stamford, CT 06905-2902 | Physician/surgeon | ~ |
| Stephanie Jamie Pham | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Thao N Pham | 312 Garibaldi Ave, Stratford, CT 06497 | Physician/surgeon | ~ 1999-03-31 |
| Kim Thu C Pham Md | 104 Genesee Lane, Madison, CT 06443 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victoria Pham | 59 Hastings Lane, Stamford, CT 06905 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Laura T Pham | 22 Woodbine Road, Woodbridge, CT 06525 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Please comment or provide details below to improve the information on CAROLINE PHAM.
| 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).