Provider Demographics
NPI:1841257185
Name:GRAHLING, ERIC D (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:D
Last Name:GRAHLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 NEW BRITAIN AVE
Mailing Address - Street 2:COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CT, LLC
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062
Mailing Address - Country:US
Mailing Address - Phone:860-793-0500
Mailing Address - Fax:860-793-1116
Practice Address - Street 1:440 NEW BRITAIN AVE
Practice Address - Street 2:COMPREHENSIVE PAIN MANAGEMENT OF CENTRAL CT, LLC
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062
Practice Address - Country:US
Practice Address - Phone:860-793-0500
Practice Address - Fax:860-793-1116
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045053208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1770776023OtherMEDICARE NPI
CT010045053CT01OtherBCBS PROVIDER #
CT010045053CT01OtherBCBS PROVIDER #